Provider Demographics
NPI:1376753921
Name:ATILANO, CAROLINE (OCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:ATILANO
Suffix:
Gender:F
Credentials:OCUPATIONAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BORINQUEN ATRAVESADA
Mailing Address - Street 2:HC-04-BOX-48181
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9631
Mailing Address - Country:US
Mailing Address - Phone:787-747-4644
Mailing Address - Fax:
Practice Address - Street 1:CALLE AQUAMARINA #66
Practice Address - Street 2:VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-1047
Practice Address - Fax:787-743-1030
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR502224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant