Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 013297 | NY |
Y | 225XG0600X | Occupational Therapist - Gerontology | OT13140 | FL |
NPI | 1043407232 |
---|---|
Provider Name | Maria Christine Perez-Quilab |
First Address | Wesley Chapel, FL 33543-7148 |
Second Address | Zephyrhills, FL 33542-5759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 07/06/2021 |