Individual
BRENTUS PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
8600 SKYLINE DR, DALLAS, TX 75243-4198
(214) 355-9108
Mailing address
8600 SKYLINE DR, DALLAS, TX 75243-4198
(214) 355-9108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114875
NM
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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