Individual
MARIO FERNANDO PEREYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
498 CHALAN PALOSYO, AGANA HEIGHTS, GU 96910-6427
(671) 475-5801
(671) 475-5855
Mailing address
241 CONDO LN APT 712, TAMUNING, GU 96913-3145
(671) 988-9651
(671) 475-5855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2680
NM
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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