Individual
IRIS JEANNETTE PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25 RIDGEWOOD RD, BEDFORD, NH 03110-6510
(603) 222-0300
(603) 623-0917
Mailing address
25 RIDGEWOOD RD, BEDFORD, NH 03110-6510
(603) 222-0300
(603) 623-0917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0562
NH
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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