Individual
JEMELEE N PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2288 AUBURN BLVD STE 107, SACRAMENTO, CA 95821-1619
(916) 446-1497
(916) 446-1497
Mailing address
2288 AUBURN BLVD STE 107, SACRAMENTO, CA 95821-1619
(916) 446-1497
(916) 446-5959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA51066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA51066
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
02/08/2021
Last updated
02/08/2021
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