Individual
SHERYL FLORES PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
204 W NASH ST, TERREL, TX 75160
(972) 563-7668
Mailing address
204 WEST NASH STREET, TERREL, TX 75160
(972) 763-7668
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1300500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010118409
DRIVERS LICENSE
LA
Enumeration date
09/01/2018
Last updated
09/01/2018
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