Individual
MICHAEL PEREZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7 PRICE LN, PALM COAST, FL 32164-7418
(806) 983-6696
Mailing address
7 PRICE LN, PALM COAST, FL 32164-7418
(806) 983-6696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16784
FL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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