Individual
JEFF PERERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4225 SHORE DR, VIRGINIA BEACH, VA 23455-2870
(757) 460-8868
Mailing address
804 CORNWALL CT, VIRGINIA BEACH, VA 23464-2382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604928
VA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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