Individual
VICTOR MICHAEL PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
654 S ANZA ST, EL CAJON, CA 92020-6602
(619) 440-5005
Mailing address
511 5TH ST, WALLACE, ID 83873-2213
(208) 758-6687
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1375
CA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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