# CENTRO DE TERAPIA FISICA TLC

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

## Provider details

- **NPI number:** 1992987127
- **Authorized official:** MRS. IVONNE VILLANUEVA R.P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (787) 317-9342

## Contact information

- **Practice address:** S11 CALLE CASTIGLIONI, BAYAMON GARDENS, BAYAMON, PR 00957-2430
- **Practice address phone:** (787) 317-9342
- **Mailing address:** CALLE 6 BLOQUE 6 \#15 SECCION 3, DORAVILLE, DORADO, PR 00946-5939
- **Mailing address phone:** (787) 317-9342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 887 | PR | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007
