# CLINICA DE TERAPIA PROFESIONAL CSP

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

## Provider details

- **NPI number:** 1871926758
- **Authorized official:** LISSETTE M ACOSTA RIVERA (OWNER)
- **Authorized official phone:** (787) 760-8405

## Contact information

- **Practice address:** AVE. PERIFERAL G-10, COOP. CUIDAD UNIVERSITARIA, TRUJILLO ALTO, PR 00976-2133
- **Practice address phone:** (787) 760-8405
- **Practice address fax:** (787) 760-8484
- **Mailing address:** PO BOX 1917, TRUJILLO ALTO, PR 00977-1917
- **Mailing address phone:** (787) 760-8405
- **Mailing address fax:** (787) 760-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 08/22/2013