Provider Demographics
NPI:1003398009
Name:PEREZ-BROWN, DARLENE JANET
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:JANET
Last Name:PEREZ-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:J
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:12 WINEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5670
Mailing Address - Country:US
Mailing Address - Phone:336-575-8722
Mailing Address - Fax:
Practice Address - Street 1:6864 SUSQUEHANNA TRL S
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-9320
Practice Address - Country:US
Practice Address - Phone:717-428-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014382225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics