Individual
MR. THOMAS JAY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
Mailing address
742 ARCADIA AVE UNIT 8, ARCADIA, CA 91007-7269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2470
CA
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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