Individual
AILEEN GRACE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 BUTHMANN AVE, TRACY, CA 95376-2165
(209) 832-2273
Mailing address
1951 W MIDDLEFIELD DR APT 129, TRACY, CA 95377-8366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8940
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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