Provider Demographics
NPI:1235277922
Name:PEREZ, ROSEMARY L
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:L
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 SAGE CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4512 HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6858
Practice Address - Country:US
Practice Address - Phone:281-534-6877
Practice Address - Fax:281-534-6879
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-08-01
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-01
Provider Licenses
StateLicense IDTaxonomies
TX2001251225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant