Individual
MRS. MA AMIL PERILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HALL HIGHWAY, CRISFIELD, MD 21817
(410) 968-1200
(410) 968-3178
Mailing address
201 HALL HIGHWAY, CRISFIELD, MD 21817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19495
PA
225100000X
Physical Therapist
Primary
22550
MD
225100000X
Physical Therapist
29927
NY
Other
Enumeration date
12/22/2009
Last updated
08/27/2012
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