Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XM0800X | Mental Health | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1104139088 |
---|---|
Provider Name | Miss Mariely Torres |
First Address | Manati, PR 00674-6833 |
Second Address | Manati, PR 00674-6833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 25/04/2016 |