Individual
AMANDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 DUTTON DR STE D, SAN MARCOS, TX 78666-7574
(512) 558-2002
(512) 392-1634
Mailing address
819 WATER ST STE 300, KERRVILLE, TX 78028-5330
(830) 258-5430
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1135580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1135580
PT LICENSE
TX
Enumeration date
03/21/2007
Last updated
01/14/2008
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