Individual
ISADORA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8491 NW 17TH ST, 113, DORAL, FL 33126-1025
(305) 456-5542
Mailing address
3161 NW 102ND ST, MIAMI, FL 33147-1566
(786) 291-6848
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13592
FL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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