Individual
JUANA BETTY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 RENAISSANCE BLVD, EDMOND, OK 73013-3018
(405) 850-8497
(405) 300-0643
Mailing address
520 NW 92ND ST, OKLAHOMA CITY, OK 73114-2902
(405) 532-9572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2495
OK
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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