# GROWING UP THERAPY AND RESEARCH CENTER

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

## Provider details

- **NPI number:** 1861099962
- **Authorized official:** KRISTIAN NAGEL ORTIZ COLON OTA (OCCUPATIONAL THERAPY ASSISTANT)
- **Authorized official phone:** (787) 615-2831

## Contact information

- **Practice address:** 322 CALLE BADAJOZ, VALENCIA SUITES A-1, SAN JUAN, PR 00923
- **Practice address phone:** (787) 318-1181
- **Mailing address:** 322 CALLE BADAJOZ, VALENCIA SUITES A-1, SAN JUAN, PR 00923
- **Mailing address phone:** (787) 318-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2020
- **Last updated:** 10/02/2020