| NPI | 1437114915 |
|---|---|
| Former Name | CRISTIAN D PRADO CAPETILLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 4548) |
| 225100000X Physical Therapist (Licence: FL PT26351) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2017-10-09 |