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Individual

MARIENE ENID OSTOLAZA SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
500 CALLE BAEZ, URB. PEREZ MORIS, HATO REY, PR 00919-5661
(787) 767-6710
Mailing address
COND. MILLENIA PARK 1 CALLE FERRER APT 411, SAN JUAN, PR 00921-4205
(787) 662-4030

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4508
PR

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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