Individual
DENISE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PINE CONE DR, PALM COAST, FL 32164-8423
(800) 796-0923
(800) 796-0926
Mailing address
PO BOX 352530, PALM COAST, FL 32135-2530
(800) 796-0923
(800) 796-0926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402547
KS
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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