Organization
DYNAMIC REHAB AND LYMPHEDEMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SEVILLANO (PRESIDENT)
(787) 633-0422
Entity
Organization
Contact information
Practice address
AC-6 AVENIDA MONSERRATE, CAROLINA, PR 00983
(787) 633-0422
Mailing address
C/ FLOR DEL RIO # 54, RIVER GARDENS, CANOVANAS, PR 00729
(787) 633-0422
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
933
PR
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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