Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 490 | PR |
N | 2251E1200X | Ergonomics | 490 | PR |
N | 225XE1200X | Ergonomics | 490 | PR |
N | 225XH1200X | Occupational Therapist - Hand | 490 | PR |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 490 | PR |
NPI | 1700845385 |
---|---|
Provider Name | Ms. Blanca Iris Alicea |
First Address | Carolina, PR 00983-4839 |
Second Address | Carolina, PR 00983-4839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 08/07/2007 |