Individual
JAMES ROBERT PERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1640 REDSTONE CTR DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0788
Mailing address
1640 REDSTONE CTR DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160040882W
WA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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