Individual
OSVALLY MARIE BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CALLE VILLA STE 113, PONCE, PR 00730-4828
(787) 709-2765
Mailing address
HC 4 BOX 7806, VILLALBA, PR 00766-9859
(787) 237-7971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001311
PR
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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