Individual
KRISTINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
872 62ND STREET CIR E STE 102, BRADENTON, FL 34208-6238
(941) 251-6825
(941) 201-1626
Mailing address
872 62ND STREET CIR E STE 102, BRADENTON, FL 34208-6238
(941) 251-6825
(941) 201-1626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016859300
—
FL
Enumeration date
03/07/2016
Last updated
01/18/2018
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