Individual
MRS. GINA PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4501 MANATEE AVE W, BRADENTON, FL 34209-3952
(941) 524-6773
Mailing address
4501 MANATEE AVE W, BRADENTON, FL 34209-3952
(941) 524-6773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT5137
FL
225XE0001X
Environmental Modification Occupational Therapist
OT5137
FL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT5137
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT5137
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT5137
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT5137
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001368300
—
FL
Enumeration date
11/25/2009
Last updated
07/31/2011
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