Individual
MS. MARY FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
CARR 2 KM 8.5, BO JUAN SANCHEZ, BAYAMON, PR 00960
(787) 782-8250
Mailing address
CIUDAD INTERAMERICANA, F14 CALLE JUREL 645, BAYAMON, PR 00956
(787) 447-6574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
738
PR
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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