Provider Demographics
NPI:1669346698
Name:PEREZ, REBECCA LOREN (MT-BC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LOREN
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 LINDELL BLVD APT 3102
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1127
Mailing Address - Country:US
Mailing Address - Phone:954-547-9514
Mailing Address - Fax:
Practice Address - Street 1:2455 LINDELL BLVD APT 3102
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-1127
Practice Address - Country:US
Practice Address - Phone:954-547-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17432225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist