Healthcare Provider Details

I. General information

NPI: 1285819797
Provider Name (Legal Business Name): RENE ALCEE PERE MOT/OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13697 15 MILE RD
MARSHALL MI
49068-8533
US

IV. Provider business mailing address

76 W MEADOWLAWN AVE
BATTLE CREEK MI
49037-2712
US

V. Phone/Fax

Practice location:
  • Phone: 269-781-6030
  • Fax:
Mailing address:
  • Phone: 646-499-1274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5201012840
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number107801
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number107801
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: