Individual
MR. ERIK ALEXANDER PERNES CALUSCUSAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
415 OWEN LN APT 911, WACO, TX 76710
(509) 386-2091
Mailing address
415 OWEN LN APT 911, WACO, TX 76710-8915
(509) 386-2091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1214150
TX
Other
Enumeration date
03/14/2013
Last updated
08/31/2018
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