Individual
PETER PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(209) 578-3290
Mailing address
704 COLUMBIA WAY, MODESTO, CA 95350-5962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5189
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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