Individual
DANIELLE PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
941 PROGRESS RD, ELLIJAY, GA 30540-5599
(401) 216-9564
(678) 951-8226
Mailing address
3521 IVY CREST WAY, BUFORD, GA 30519-4475
(401) 216-9564
(678) 951-8226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002357
GA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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