Individual
KEYLA NICOLE VEGA VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
00921 PR-21, SAN JUAN, 00921, SAN JUAN, PR 00921
(787) 766-4646
Mailing address
52 PLAZA SEIS, URB. GRAN VISTA 2, GURABO, PR 00778
(787) 469-1004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1492
PR
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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