Provider Demographics
NPI:1508426115
Name:SENIOR PHYSICAL THERAPY OF PR, INC.
Entity Type:Organization
Organization Name:SENIOR PHYSICAL THERAPY OF PR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:787-810-3853
Mailing Address - Street 1:354 VIA SANTA CATALINA COND ALTOS REALES
Mailing Address - Street 2:APT 914
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-810-3853
Mailing Address - Fax:787-993-6030
Practice Address - Street 1:B1 CALLE 6
Practice Address - Street 2:MANSIONES DE GARDEN HILLS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-810-3853
Practice Address - Fax:787-993-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy