Individual
LEIGHANNE CHRISTINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4600 LOCKHILL SELMA RD, SAN ANTONIO, TX 78249-2185
(210) 408-7300
(210) 408-7303
Mailing address
4600 LOCKHILL SELMA RD, SAN ANTONIO, TX 78249-2185
(210) 408-7300
(210) 408-7303
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
116206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497038004
SPECIALTY MIXED FACILITY
TX
Enumeration date
06/30/2014
Last updated
06/30/2014
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