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Organization
BODY ALIGN STRUCTURAL MASSAGE HEALTH FOR WELLNESS CSP
Active
Organization
BODY ALIGN STRUCTURAL MASSAGE HEALTH FOR WELLNESS CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE N FELICIANO (SECRETARY)
(787) 238-7909
Entity
Organization
Contact information
Practice address
CARR 110 KM 4.9 INT BO AGUACATE, AGUADILLA, PR 00603
(787) 238-7909
(787) 238-7909
Mailing address
HC 7 BOX 39597, AGUADILLA, PR 00603-9220
(787) 238-7909
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
142
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356664726
PHYSICAL THERAPIST
PR
Enumeration date
11/07/2017
Last updated
11/07/2017
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