Individual
TATIANA PERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
170 COZUMEL, LAGUNA BEACH, CA 92651-4450
(201) 874-7611
Mailing address
170 COZUMEL, LAGUNA BEACH, CA 92651-4450
(201) 874-7611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51618
CA
Other
Enumeration date
02/08/2023
Last updated
02/09/2023
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