# SHAPES PR LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHAPES PR LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750914008
- **Legal business name:** SHAPES PR LLC
- **Authorized official:** WILNELIA LOPEZ AQINO OT (PRESIDENT)
- **Authorized official phone:** (787) 908-0908

## Contact information

- **Practice address:** AVE. ARCADIO ESTRADA 4160, SUITE 209, SAN SEBASTIAN, PR 00685-0000
- **Practice address phone:** (787) 908-0908
- **Mailing address:** AVE. ARCADIO ESTRADA 4160, SUITE 209, SAN SEBASTIAN, PR 00685-0000
- **Mailing address phone:** (787) 908-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/14/2020
- **Last updated:** 02/14/2020