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Individual

MRS. IDANIA ROLDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.L.

Contact information

Practice address
ST.1D21 URB. SANTA MARIA, CEIBA, PR 00924
(787) 776-8663
(787) 764-9904
Mailing address
ST.1D21 URB. SANTA MARIA, CEIBA, PR 00924
(787) 776-8663
(787) 764-9904

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1064
PR
225XE1200X
Ergonomics Occupational Therapist
1064
PR
225XH1200X
Hand Occupational Therapist
1064
PR
225XH1300X
Human Factors Occupational Therapist
1064
PR
225XN1300X
Neurorehabilitation Occupational Therapist
1064
PR
225XP0200X
Pediatric Occupational Therapist
1064
PR

Other

Enumeration date
03/21/2006
Last updated
02/06/2008
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