Individual
MRS. WANDA I CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
SAN AGUSTIN, C 20 CALLE 4, BAYAMON, PR 00959
(787) 475-0579
(787) 783-1325
Mailing address
SAN AGUSTIN, C 20 CALLE 4, BAYAMON, PR 00959
(787) 475-0579
(787) 783-1325
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
710
PR
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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