Provider Demographics
NPI:1851423255
Name:ABL THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ABL THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VINCI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-753-1153
Mailing Address - Street 1:1453 RED PINE TRL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-5829
Mailing Address - Country:US
Mailing Address - Phone:561-753-1153
Mailing Address - Fax:561-753-1341
Practice Address - Street 1:1453 RED PINE TRL
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-5829
Practice Address - Country:US
Practice Address - Phone:561-753-1153
Practice Address - Fax:561-753-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL06000083381171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty