Provider Demographics
NPI:1205162849
Name:PEREZ, CLAIRE-MICHELLE (ATC, OPA-C)
Entity type:Individual
Prefix:
First Name:CLAIRE-MICHELLE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:ATC, OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:160 GREENMONT CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3450
Mailing Address - Country:US
Mailing Address - Phone:404-790-0034
Mailing Address - Fax:770-360-0448
Practice Address - Street 1:1285 HEMBREE RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5720
Practice Address - Country:US
Practice Address - Phone:770-360-0405
Practice Address - Fax:770-360-0456
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist