Individual
GABE E. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2834
NM
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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