Individual
MALLORY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12124 HIGH TECH AVE STE 300, ORLANDO, FL 32817-8374
(407) 249-5485
Mailing address
12124 HIGH TECH AVE STE 300, ORLANDO, FL 32817-8374
(407) 249-5485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211298
TX
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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