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Individual

ANDREYNA PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2100 SOLAR DR STE 204, OXNARD, CA 93036-2602
(805) 765-4773
Mailing address
3418 LOMA VISTA RD STE A, VENTURA, CA 93003-3015

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49086
PTA LICENSE
CA
Enumeration date
02/01/2018
Last updated
02/01/2018
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