Individual
JELISIA MELINA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/ASSISTANT
Contact information
Practice address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(806) 686-0429
Mailing address
3901 114TH ST APT 2621, LUBBOCK, TX 79423-8252
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218705
TX
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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