Individual
LINDA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
280 MT HEBRON RD, ELMORE, AL 36025-1526
(334) 567-8484
Mailing address
145 SHAWNEE DR., WETUMPKA, AL 36092-5316
(334) 322-5420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA5988
AL
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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