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Individual

ELENA KIM PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,PT

Contact information

Practice address
2 DUDLEY ST STE 530, PROVIDENCE, RI 02905-3230
(401) 444-4787
(401) 444-2838
Mailing address
2 DUDLEY ST STE 530, PROVIDENCE, RI 02905-3230
(401) 444-4787
(401) 444-2838

Taxonomy

Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
RN43432
RI
2251N0400X
Neurology Physical Therapist
Primary
PT02258
RI

Other

Enumeration date
03/29/2012
Last updated
03/30/2012
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