Individual
MRS. GRISELLE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
CALLE MAYAGUEZ #214, SAN JUAN, PR 00917
(787) 957-6327
Mailing address
COL. PROVIDENCIA CALLE LAS ROSAS #29, P.O BOX 987, PATILLAS, PUERTO RICO 00723
(787) 360-2493
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
1104
PR
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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