Brain Base Therapy Center LLC
NPI #1730714593 in Coamo, Puerto Rico
Provider Information
- NPI Number
- 1730714593
- Entity Type
- Organization
- Organization Name
- Brain Base Therapy Center LLC
- Primary Specialty
- Clinic/Center - Hearing and Speech
- Enumeration Date
- Mar 11, 2020
- Last Updated
- Nov 7, 2020
Practice Location
- Address
- BARRIO LOS LLANOS
- Address 2
- CARRETERA #14, KM 26.7
- City
- Coamo
- State
- Puerto Rico
- ZIP Code
- 00769
- Phone
- (787) 202-5530
Authorized Official
- Name
- LIZA ROBELY RODRIGUEZ, THL, CPETE, CNSL
- Title
- PRESIDENTA
- Phone
- (787) 202-5530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
| Occupational Therapist - Pediatrics — Pediatrics |
| Early Intervention Provider Agency |
| Clinic/Center |
| Clinic/Center - Hearing and Speech — Hearing and Speech |
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