Individual
NICHOLAS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1100 N BROAD ST STE A, GLOBE, AZ 85501-2700
(928) 961-1345
Mailing address
840 S HIGHLAND DR, GLOBE, AZ 85501-1991
(928) 363-0826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014958
AZ
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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