Individual
BRENDA IVELISSE MATOS COTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TO
Contact information
Practice address
CALLE JULIO CINTRON #202, EDIFICIO GUAYACAN SUITE 221 SER DE PUERTO RICO, AIBONITO, PR 00705
(787) 735-0290
(787) 735-0380
Mailing address
PO BOX 360325, SER DE PUERTO RICO, SAN JUAN, PR 00936-0325
(787) 767-6710
(787) 758-0950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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