Organization
MO THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS H PONS CRUZ (AGENT)
(787) 306-6573
Entity
Organization
Contact information
Practice address
PARQUE INDUSTRIAL SABANETAS, SOLAR 8 CARR. PR-1 KM. 124, PONCE, PR 00716
(787) 290-4000
Mailing address
PARQUE INDUSTRIAL SABANETAS, SOLAR 8 CARR PR-1 KM. 124, PONCE, PR 00716
(787) 290-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/24/2019
Last updated
08/28/2020
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