Healthcare Provider Details

I. General information

NPI: 1003398009
Provider Name (Legal Business Name): DARLENE JANET PEREZ-BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLENE J. PEREZ OT

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6864 SUSQUEHANNA TRL S
YORK PA
17403-9320
US

IV. Provider business mailing address

12 WINEBERRY DR
MECHANICSBURG PA
17055-5670
US

V. Phone/Fax

Practice location:
  • Phone: 717-428-0150
  • Fax:
Mailing address:
  • Phone: 336-575-8722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC014382
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: