Provider Demographics
NPI:1609646629
Name:PEREZ, JENNIFER A (ATR-BC, LCAT, C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:PEREZ
Suffix:
Gender:F
Credentials:ATR-BC, LCAT, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2281 FOX RUN CIR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7489
Mailing Address - Country:US
Mailing Address - Phone:609-680-0458
Mailing Address - Fax:
Practice Address - Street 1:2281 FOX RUN CIR
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-7489
Practice Address - Country:US
Practice Address - Phone:609-680-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001706221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist