Individual
JITKA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S AIRPORT RD, BUILDING B, SUITE C, LONGMONT, CO 80503
(720) 491-3402
Mailing address
1218 LEFTHAND DR, LONGMONT, CO 80501-6514
(720) 341-6732
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA.0015351
CO
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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