Individual
IRMA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
802 E. HWY 20, MICHIGAN CITY, IN 46360
(219) 229-1202
Mailing address
405 E MERCHANT ST, NEW BUFFALO, MI 49117-1174
(219) 229-1202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001095A
IN
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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