Organization
PICORETO THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARY CARRASQUILLO MS.SLP880 (DIRECTOR)
(787) 226-4844
Entity
Organization
Contact information
Practice address
EDIFICIO MULTIUSOS, PBO 5 CALLE AUTONOMIA ESQ PEPITA ALBANDOZ, CANOVANAS, PR 00729
(787) 226-4844
Mailing address
URB LOS ARBOLES, 351 CALLE GRANADA, RIO GRANDE, PR 00745
(787) 226-4844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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