Leobardo Perez, COTA
Individual provider Active NPI Occupational Therapy Assistant · Roma, TX
NPI 1386813152 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1386813152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 209822 (TX)
- Practice address
- 700 E Bravo Blvd
Roma, TX 78584-5668 - Phone
- (956) 849-3703
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209822 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 209822 | TX | Yes |
Addresses
Primary practice location
700 E Bravo Blvd
Roma, TX 78584-5668
Mailing address
700 E Bravo Blvd
Roma, TX 78584-5668
Phone (956) 849-3703
Other providers in Roma, TX
- Nueva Esperanza Adult Day Care
- Liliana Maria Ortega
- Kariana Pena
- Keila Pena
- Sara Pena
- Performance Therapeutics - Roma PLLC
- Performance Therapeutics - Roma, P.L.L.C.
- Timothy K. Peterson
- R & R Starr Amigos LLC
- R & R Starr Amigos LLC
All providers in Roma, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.