Individual
MARIA DE LOS ANGELES BLANCO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
54 CALLE CARRION MADURO N, COAMO, PR 00769-2324
(178) 750-8222
Mailing address
HC 1 BOX 10136, COAMO, PR 00769-9704
(178) 750-8222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
793
PR
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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