# MSL THERAPEUTICAL SERVICES, PSC

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

## Provider details

- **NPI number:** 1881835635
- **Authorized official:** MRS. MARICARMEN FONTANET AVILES OT (OWNER)
- **Authorized official phone:** (787) 744-4828

## Contact information

- **Practice address:** B5 CALLE CORCHADO, AVE JOSE VILLARES URB PARADIS, CAGUAS, PR 00725-2622
- **Practice address phone:** (787) 594-1126
- **Practice address fax:** (787) 744-6443
- **Mailing address:** PO BOX 4956, PMB 2105, CAGUAS, PR 00726-4956
- **Mailing address phone:** (787) 594-1126
- **Mailing address fax:** (787) 744-6443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2009
- **Last updated:** 08/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038888200 | — | PR |