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Individual
ILENIA PEREZ
Active
Individual
ILENIA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT34619
CA
225100000X
Physical Therapist
Primary
PT34619
CA
2251X0800X
Orthopedic Physical Therapist
PT34619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT34619
LICENSE NUMBER
CA
Enumeration date
08/18/2008
Last updated
05/14/2019
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