Organization
RESTAURA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN DAVID IRIZARRY (PRESIDENT)
(787) 598-7405
Entity
Organization
Contact information
Practice address
312 DE DIEGO AVE STE 502, SAN JUAN, PR 00909-1758
(787) 598-7405
Mailing address
PO BOX 191733, SAN JUAN, PR 00919-1733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
896
PR
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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