Individual
SEVERO PEREZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
300 HAPPY LN, HILLSBORO, TX 76645-2624
(254) 583-8482
Mailing address
1634 COUNTRY HLS, WAXAHACHIE, TX 75165-6172
(817) 991-7812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209896
TX
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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