Individual
CLARISSA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1 COYOTE TRL, ALICE, TX 78332-4061
(361) 664-0126
Mailing address
1405 ROSE DR, ALICE, TX 78332-4029
(361) 207-0467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7829
TX
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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