Individual
LEOBARDO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
700 E BRAVO BLVD, ROMA, TX 78584-5668
(956) 849-3703
Mailing address
700 E BRAVO BLVD, ROMA, TX 78584-5668
(956) 849-3703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209822
TX
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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