Individual
MRS. NIKIMA LEDEE-BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
108 CALLE HOSTOS N, GUAYAMA, PR 00784-4348
(787) 212-4456
(787) 864-0954
Mailing address
PO BOX 3308, GUAYAMA, PR 00785-3308
(787) 212-4456
(787) 864-0954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
189
PR
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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