Individual
MARIENID ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EXT. SANTA TERESITA CALLE SANTA JUANITA, 3645, PONCE, PR 00730
(939) 414-9450
Mailing address
PO BOX 6541, PONCE, PR 00733
(939) 414-9450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1201
PR
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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