Individual
COLLEEN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4901 E UNIVERSITY BLVD, ODESSA, TX 79762-8122
(432) 552-2980
Mailing address
5075 E 52ND ST APT K203, ODESSA, TX 79762-5145
(323) 493-2879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7409
TX
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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