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Individual

TREVOR RILEY PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(762) 235-2680
(762) 235-2679
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
20473
FL
225X00000X
Occupational Therapist
Primary
OT007308
GA

Other

Enumeration date
12/11/2019
Last updated
04/30/2021
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