Organization
BODY ALIGN STRUCTURAL MASSAGE HEALTH FOR WELLNESS CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE N FELICIANO (SECRETARY)
(787) 238-7909
Entity
Organization
Contact information
Practice address
CARR 110 KM 4.9 INT BO AGUACATE, AGUADILLA, PR 00603
(787) 238-7909
(787) 238-7909
Mailing address
HC 7 BOX 39597, AGUADILLA, PR 00603-9220
(787) 238-7909
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
142
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356664726
PHYSICAL THERAPIST
PR
Enumeration date
11/07/2017
Last updated
11/07/2017
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