Individual
MR. KENNETH DELORIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5214 S EAST ST, BLDG D, STE 1, HTS OUTPATIENT THERAPY SERVICES, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST ST, BLDG D, STE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0500787QA
IN
Other
Enumeration date
12/30/2005
Last updated
04/02/2008
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