| NPI | 1902353014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE COLON Directora 939-238-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |