Organization
CENTRO DE TERAPIA OCUPACIONAL PEDIATRICA DEL SURESTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHMARIE ORTIZ LCDA (ASISTENTE DE TERAPIA OCUPACIONAL)
(787) 484-4168
Entity
Organization
Contact information
Practice address
AVE LOS VETERANOS CALLE 3, GUAYAMA MEDICAL CENTER, GUAYAMA, PR 00785
(787) 484-4168
Mailing address
PO BOX 192, MAUNABO, PR 00707-0192
(787) 484-4168
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
807
PR
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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