Individual
JORGE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1619 LAUBACH AVE, NORTHAMPTON, PA 18067-1517
(610) 360-1316
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005392
PA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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