Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | AA642173 | PR |
NPI | 1205851250 |
---|---|
Provider Name | Waleska Flores Atresino |
First Address | Sabana Grande, PR 00637 |
Second Address | Mayaguez, PR 00680-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |