| NPI | 1104546571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN M RIVERA VISALDEN President 787-600-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |