Organization
MSL THERAPEUTICAL SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARICARMEN FONTANET AVILES OT (OWNER)
(787) 744-4828
Entity
Organization
Contact information
Practice address
B5 CALLE CORCHADO, AVE JOSE VILLARES URB PARADIS, CAGUAS, PR 00725-2622
(787) 594-1126
(787) 744-6443
Mailing address
PO BOX 4956, PMB 2105, CAGUAS, PR 00726-4956
(787) 594-1126
(787) 744-6443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038888200
—
PR
Enumeration date
03/08/2009
Last updated
08/05/2024
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