Individual
MS. MARILYN IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
Y11 CALLE 1, BAYAMON, PR 00959-3739
(787) 638-4360
Mailing address
PO BOX 9117, PMB 39, BAYAMON, PR 00960-9117
(787) 638-4360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1000
PR
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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