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Individual

ITZAMAR DASTA-VALENTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2 CARR PUERTO RICO 2, HATILLO, PR 00659
(787) 915-3000
Mailing address
HC 2 BOX 16371, ARECIBO, PR 00612-9382
(787) 213-6509

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PR
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
PR

Other

Enumeration date
08/02/2018
Last updated
08/02/2018
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