Individual
CHARLENE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14750 SW 26TH ST STE 208, MIAMI, FL 33185-5936
(305) 220-8222
Mailing address
13984 SW 151ST AVE, MIAMI, FL 33196-5044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29636
FL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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