| NPI | 1922048263 |
|---|---|
| Other Name | SELENIA IVETTE PRATTS-PONCE DE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 4035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 4035) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-04-18 |