Individual
AMANDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
224 FARENHOLT AVE, UR 1 BUILDING, TAMUNING, GU 96913
(671) 647-0110
Mailing address
224 FARENHOLT AVE, UR 1 BUILDING, TAMUNING, GU 96913
(671) 647-0110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161372340
WA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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