Provider Demographics
NPI:1720637473
Name:ABAD, GALIA REHAB (MA)
Entity Type:Individual
Prefix:
First Name:GALIA
Middle Name:REHAB
Last Name:ABAD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7324 SW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1427
Mailing Address - Country:US
Mailing Address - Phone:786-344-0569
Mailing Address - Fax:
Practice Address - Street 1:8328 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3337
Practice Address - Country:US
Practice Address - Phone:305-595-2053
Practice Address - Fax:305-595-0752
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL40091225700000X
FLRBT-20-118353106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist