Individual
MRS. ANNIE-LEE TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, MS, CSCS
Contact information
Practice address
RD 106 FLOR DEL VALLE, 665 AMAPOLA ST, MAYAGUEZ, PR 00680
(787) 806-3438
(787) 833-4570
Mailing address
PO BOX 3635, MAYAGUEZ, PR 00681-3635
(787) 806-3438
(787) 833-4570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001296
PR
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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