Individual
MICHAEL CHRISTOPHER PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1972 E BASELINE RD STE 103, TEMPE, AZ 85283-1532
(480) 730-0502
Mailing address
3303 S LINDSAY RD STE 116, GILBERT, AZ 85297-2100
(480) 782-9696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8727
AZ
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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