Individual
KRISTY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 LINCOLN AVE, MORTON GROVE, IL 60053-3416
(224) 251-7965
(224) 251-7655
Mailing address
5520 LINCOLN AVE, MORTON GROVE, IL 60053-3416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001251
IL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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