Individual
PATRICIA G PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2511 REDSTONE DR, MISSION, TX 78572-4497
(845) 551-3111
(845) 294-8650
Mailing address
2511 REDSTONE DR, MISSION, TX 78572-4497
(845) 551-3111
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
2065670
TX
225200000X
Physical Therapy Assistant
Primary
005771-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065670
PHYSICAL THERAPIST ASSISTANT
TX
05
—
2065670
—
TX
Enumeration date
12/11/2006
Last updated
06/02/2022
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