Organization
EBENEZER KIDS THERAPY MULTIDISCIPLINARY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARALYS PEREZ ORTIZ MRS (PRESIDENT)
(939) 377-0884
Entity
Organization
Contact information
Practice address
BO. ESPINOSA, CARR 679 KM 3, DORADO, PR 00646
(939) 377-0884
Mailing address
PO BOX 3578, VEGA ALTA, PR 00692-3578
(939) 377-0884
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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