Individual
MRS. MARIAN FORD PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6607 MIMOSA ST, INDIAN TRAIL, NC 28079
(704) 607-9989
(704) 684-4284
Mailing address
6607 MIMOSA ST, INDIAN TRAIL, NC 28079-9579
(704) 607-9989
(704) 684-4284
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1750
NC
Other
Enumeration date
05/26/2007
Last updated
05/20/2018
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