Individual
LISANDRA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
12741 SW 17TH CT, MIRAMAR, FL 33027-2500
(954) 447-8844
Mailing address
17800 NW 73RD AVE APT 103, HIALEAH, FL 33015-6217
(786) 239-1310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12116
FL
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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