Individual
JOSHUA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3709 LEMON DR, GRAND PRAIRIE, TX 75052-6614
(972) 816-7300
Mailing address
3709 LEMON DR, GRAND PRAIRIE, TX 75052-6614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
07/20/2020
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