Individual
MELISSA PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15665 MIAMI LAKEWAY N APT 408, MIAMI LAKES, FL 33014-2183
(786) 359-1802
Mailing address
15665 MIAMI LAKEWAY N APT 408, MIAMI LAKES, FL 33014-2183
(786) 359-1802
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
14166
FL
224Z00000X
Occupational Therapy Assistant
Primary
14166
FL
Other
Enumeration date
03/25/2015
Last updated
03/26/2017
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