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Individual

ELIAS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 546-6450
Mailing address
208 S RAITT ST, SANTA ANA, CA 92703-4455
(714) 360-5678

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2768
CA

Other

Enumeration date
04/02/2018
Last updated
04/02/2018
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