Individual
PEDRO PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1435 TOLEDO ST, SIDNEY, NE 69162-2166
(308) 254-4756
Mailing address
2140 ELM ST, SIDNEY, NE 69162-1049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
841
NE
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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