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Organization

CENTRO DE DESARROLLO PARA LA NINEZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIUSKA VAZQUEZ (SPEECH PATHOLOGISTS- MANAGER)
(787) 944-6971
Entity
Organization

Contact information

Practice address
69 CALLE DUFRESNE W, HUMACAO, PR 00791-3610
(787) 944-6971
Mailing address
VILLAS DE CANDELERO, CLL GOLONDRINA 52, HUMACAO, PR 00791
(787) 944-6971

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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