Healthcare Provider Details

I. General information

NPI: 1043407232
Provider Name (Legal Business Name): MARIA CHRISTINE PEREZ-QUILAB OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38250 A AVE
ZEPHYRHILLS FL
33542-5759
US

IV. Provider business mailing address

4139 DYLAN THOMAS DR
WESLEY CHAPEL FL
33543-7148
US

V. Phone/Fax

Practice location:
  • Phone: 813-364-5496
  • Fax:
Mailing address:
  • Phone: 863-604-7759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number013297
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT13140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: