Doctor Name: | JACQUELINE PEREZ |
NPI Number: | 1073844148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 11721 Telegraph Rd Bldg. A Santa Fe Springs, CA - 906703674 |
Business Phone Number: | 5629498455 |
Business Fax Number: | 5629494807 |
Mailing Address: | 14023 Lefloss Ave, NORWALK |
State: | CA |
Postal Code: | 906503523 |
Phone Number: | 5622191789 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |