Individual
MRS. GLADYS SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
AVE. GAUTIER BENITEZ #162 EDIF. ANGORA, CAGUAS, PR 00725
(787) 745-0630
Mailing address
HC 08 BOX 49664 BO. SAN SALVADOR, CAGUAS, PR 00725-9644
(787) 286-1038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
195
PR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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