Individual
AIXA MICHELLE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
CALLE PALOMA D-27, URB LAS GAVIOTAS, TOA BAJA, PR 00949
(787) 646-8145
Mailing address
CALLE PALOMA D-27, URB LAS GAVIOTAS, TOA BAJA, PR 00949
(787) 646-8145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
905
PR
Other
Enumeration date
01/09/2007
Last updated
06/25/2008
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