Individual
KAILEY DAWN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
(918) 542-4410
Mailing address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
(918) 542-4410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3582
OK
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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