Individual
MARIELIS FEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATO
Contact information
Practice address
1 AVE. SHUFFORD 109, PMB 210, CAGUAS, PR 00727
(787) 717-5334
Mailing address
1 AVE. SHUFFORD 109, PMB 210, CAGUAS, PR 00727
(787) 717-5334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1203
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5081662
DRIVER LICENSE
PR
Enumeration date
02/28/2021
Last updated
02/28/2021
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