# FC KIDS THERAPY CENTER LLC

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

## Provider details

- **NPI number:** 1578137014
- **Authorized official:** MRS. CRISTINA I COLON OTA (OWNER)
- **Authorized official phone:** (787) 610-2387

## Contact information

- **Practice address:** PARCELAS GUAYABAL, CALLE 6 CASA 95, JUANA DIAZ, PR 00795-9551
- **Practice address phone:** (939) 328-3588
- **Mailing address:** HC 3 BOX 11257, JUANA DIAZ, PR 00795-9551
- **Mailing address phone:** (787) 610-2387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 10/23/2024