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Individual

ILEANA PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1500 WESTON RD STE 215, WESTON, FL 33326-3265
(954) 560-1665
Mailing address
5638 NW 28TH ST, LAUDERHILL, FL 33313-2391
(954) 281-3022

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
FL

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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