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Individual

DANIELLE MALLILLIN PERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1300 N CENTRAL EXPY, PLANO, TX 75074-1009
(972) 578-2212
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251X0800X
Orthopedic Physical Therapist
1329172
TX

Other

Enumeration date
02/20/2020
Last updated
10/18/2023
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