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Organization
AXIS OF SYMMETRY
Active
Organization
AXIS OF SYMMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA L. CADIZ BLACKMAN PT (OWNER)
(787) 354-2105
Entity
Organization
Contact information
Practice address
985 CARR 644, 1101 CANDOMINIO LAS MESAS, MAYAGUEZ, PR 00680
(787) 354-2105
Mailing address
HC 3 BOX 18089, QUEBRADILLAS, PR 00678-9398
(787) 354-2105
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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