Provider Demographics
NPI:1891440186
Name:PEREZ, ALINA M (OTR/L, CLT, CBIS)
Entity Type:Individual
Prefix:MS
First Name:ALINA
Middle Name:M
Last Name:PEREZ
Suffix:
Gender:F
Credentials:OTR/L, CLT, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N ALAFAYA TRL STE 900
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4737
Mailing Address - Country:US
Mailing Address - Phone:407-514-3657
Mailing Address - Fax:407-381-1971
Practice Address - Street 1:1900 N ALAFAYA TRL STE 900
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4737
Practice Address - Country:US
Practice Address - Phone:407-514-3657
Practice Address - Fax:407-381-1971
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14507225400000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner