Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 102046 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 102046 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 102046 | TX |
NPI | 1164648499 |
---|---|
Provider Name | Irma G. Perez-Garcia |
First Address | San Antonio, TX 78229-4412 |
Second Address | San Antonio, TX 78229-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/10/2014 |