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Individual

ADA I COLON-GAVILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT,MPT

Contact information

Practice address
VILLA CAROLINA, 104-17 104STREET, CAROLINA, PR 00985
(787) 752-0869
Mailing address
PO BOX 9030, HUMACAO, PR 00792-9030
(787) 585-3610

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
776
PR

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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