Individual
KRISTEN M PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
491 HIGHWAY 17, LITTLE RIVER, SC 29566-8082
(843) 399-6454
(843) 399-6463
Mailing address
6015 CATALINA DR UNIT 713, NORTH MYRTLE BEACH, SC 29582-9514
(843) 582-8014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5073
SC
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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