NPI | 1629554100 |
---|---|
Former Name | RAELYNN PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT4538) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0007012) |
225X00000X Occupational Therapist (Licence: OR 403238) | |
225X00000X Occupational Therapist (Licence: UT 10884539-4201) | |
Enumeration Date | 2018-07-17 |
Last Update Date | 2021-12-01 |