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Organization

PROFESSIONAL THERAPY & HEALTH SERVICES, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDMOND MEDINA HERNANDEZ DPM (PRESIDENT)
(787) 785-9282
Entity
Organization

Contact information

Practice address
COND MAGNOLIA GDNS, P-12, BAYAMON, PR 00956-7100
(787) 785-9282
(787) 200-0482
Mailing address
COND MAGNOLIA GDNS, P-12, BAYAMON, PR 00956-7100
(787) 785-9282
(787) 200-0482

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12842
PR

Other

Enumeration date
04/21/2015
Last updated
04/21/2015
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