Individual
MRS. DEBRA MICHELE PERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
159 INDIAN HEAD RD, COMMACK, NY 11725-2205
(631) 543-4500
(631) 543-5162
Mailing address
27 BARBARA RD, LAKE RONKONKOMA, NY 11779-4301
(631) 981-7338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001694
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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