Individual
JOANNA LORRAINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14442 SW 108TH TER, MIAMI, FL 33186-6600
(786) 259-2276
Mailing address
14442 SW 108TH TER, MIAMI, FL 33186-6600
(786) 259-2276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003900900
—
FL
Enumeration date
07/27/2011
Last updated
12/28/2021
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