Individual
DAILENIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2792 DONNELLY DR, LANTANA, FL 33462-6431
(561) 574-3943
Mailing address
2820 BUCKLEY AVE, LAKE WORTH, FL 33461-3703
(561) 574-3943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-307439
FL
225200000X
Physical Therapy Assistant
Primary
PTA30033
FL
Other
Enumeration date
06/30/2021
Last updated
11/05/2023
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