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Individual

MRS. LUZ E LASSALLE-NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
AVE HOSTOS # 410, SUITE 1, MAYAGUEZ, PR 00682-6353
(787) 832-6015
(787) 832-6015
Mailing address
HC 3 BOX 29240-6, AGUADA, PR 00602-9738
(787) 868-4418

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
391
PR

Other

Enumeration date
07/26/2007
Last updated
07/26/2007
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