Individual
JENNIFER SOLEIL MALDONADO EMANUELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 CALLE KENNEDY, URB FERNANDEZ, CIDRA, PR 00739-3455
(787) 714-0510
Mailing address
4 CALLE KENNEDY, URB FERNANDEZ, CIDRA, PR 00739-3455
(787) 714-0510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2035
PR
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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