Individual
MRS. CHRISTINA TO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT. OT-C
Contact information
Practice address
5445 MERIDIAN MARK RD STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
Mailing address
2108 TERON TRCE, SUITE 200, DACULA, GA 30019-1666
(706) 426-1984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002560
GA
Other
Enumeration date
07/13/2010
Last updated
06/16/2021
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