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Organization
CENTRO TERAPEUTICO GENESIS INC
Active
Organization
CENTRO TERAPEUTICO GENESIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA RODRIGUEZ ROSADO THL (PRESIDENTA)
(787) 317-2826
Entity
Organization
Contact information
Practice address
MARGINAL D- 39, URB. VILLA REAL, VEGA BAJA, PR 00693
(787) 317-2826
Mailing address
MARGINAL D- 39, URB. VILLA REAL, VEGA BAJA, PR 00693
(787) 317-2826
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
PR
224Z00000X
Occupational Therapy Assistant
—
PR
225X00000X
Occupational Therapist
—
PR
2355S0801X
Speech-Language Assistant
Primary
665
PR
235Z00000X
Speech-Language Pathologist
—
PR
261QH0700X
Hearing and Speech Clinic/Center
—
PR
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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