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Individual
MARY LOUISA PEREZ
Active
Individual
MARY LOUISA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
163469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82724
BC BS 82724T
TX
Enumeration date
01/22/2007
Last updated
03/20/2020
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