# AXIS OF SYMMETRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417627373
- **Authorized official:** JULIANA L. CADIZ BLACKMAN PT (OWNER)
- **Authorized official phone:** (787) 354-2105

## Contact information

- **Practice address:** 985 CARR 644, 1101 CANDOMINIO LAS MESAS, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 354-2105
- **Mailing address:** HC 3 BOX 18089, QUEBRADILLAS, PR 00678-9398
- **Mailing address phone:** (787) 354-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 09/14/2021