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NPI Code Detail

MEDICARE: TESIA ABRENICA

MEDICARE:   TESIA  ABRENICA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1538838503
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESIA ABRENICA
Provider Business Mailing Address
First Line : 3601 CHASE ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-1903
Country : US
Telephone Number : 304-320-8736
Fax Number :
Provider Business Practice Location Address
First Line : 10732 COUNTY ROAD 107
Second Line :
City : PROCTORVILLE
State : OH
Zip : 45669-8130
Country : US
Telephone Number : 740-886-3120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2021
Last Update Date : 09/12/2021

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Directions to “ TESIA ABRENICA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.