Individual
MRS. ERICA VANESSA GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
STREET #2 KM. 94.5, BO. YEGUADA, CAMUY, PR 00627
(787) 820-4776
(787) 820-4776
Mailing address
PO BOX 621, CAMUY, PR 00627-0621
(787) 820-4776
(787) 820-4776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1721
PR
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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