Individual
EDLINE MARIE MORALES GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MPH
Contact information
Practice address
931 AVE TITO CASTRO CARR. 14, BO. MACHUELO, PONCE, PR 00716-4717
(787) 765-2929
Mailing address
PO BOX 1242, ARROYO, PR 00714-1242
(787) 525-5638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4646
PR
Other
Enumeration date
10/04/2023
Last updated
12/19/2023
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