Individual
MS. JACQUELINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2200 S LAKELINE BLVD, CEDAR PARK, TX 78613-4567
(512) 592-3090
Mailing address
2200 S LAKELINE BLVD, LAKEWAY, TX 78734-5269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116746
TX
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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