Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | #1054 | PR |
N | 225XG0600X | Occupational Therapist - Gerontology | #1054 | PR |
N | 225XM0800X | Mental Health | #1054 | PR |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | #1054 | PR |
N | 225XP0200X | Occupational Therapist - Pediatrics | #1054 | PR |
NPI | 1457669236 |
---|---|
Provider Name | Mrs. Magaly Capella |
First Address | Aguadilla, PR 00603-9576 |
Second Address | Isabela, PR 00662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2010 |
Last Update Date | 15/09/2010 |