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Individual

AMANDA CHEVON PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2519 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-6384
Mailing address
2519 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-6384

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1266663
TX
225100000X
Physical Therapist
35047
CA
225100000X
Physical Therapist
P14294
NC

Other

Enumeration date
12/24/2008
Last updated
09/15/2015
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