Healthcare Provider Details

I. General information

NPI: 1861012585
Provider Name (Legal Business Name): REBECA ALEJADRA PEREZ OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14476 HORIZON BLVD
HORIZON CITY TX
79928-8578
US

IV. Provider business mailing address

12825 WOOLSTONE DR
HORIZON CITY TX
79928-5898
US

V. Phone/Fax

Practice location:
  • Phone: 915-408-2889
  • Fax:
Mailing address:
  • Phone: 915-408-2889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number120836
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: