Individual
ANNIE AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
F3 CALLE SAN JORGE, URB VILLA DEL PILAR, CEIBA, PR 00735-3175
(787) 461-8284
Mailing address
F3 CALLE SAN JORGE, URB VILLA DEL PILAR, CEIBA, PR 00735-3175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1097
PR
225XM0800X
Mental Health Occupational Therapist
1097
PR
225XN1300X
Neurorehabilitation Occupational Therapist
1097
PR
225XP0019X
Physical Rehabilitation Occupational Therapist
1097
PR
225XP0200X
Pediatric Occupational Therapist
1097
PR
Other
Enumeration date
08/14/2009
Last updated
12/28/2020
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