Individual
LISANDRA RIVERA AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
CARRETERA 693 BO. BRENAS, EDIF. ANCHOR HEART SUITE 6, VEGA ALTA, PR 00692
(787) 270-2686
(787) 270-5292
Mailing address
PO BOX 468, VEGA BAJA, PR 00694-0468
(787) 596-3497
(787) 270-5292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
966
PR
Other
Enumeration date
05/16/2011
Last updated
05/17/2011
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