Individual
TASHA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
(575) 622-9777
Mailing address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
(575) 622-9777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1753
NM
Other
Enumeration date
08/18/2020
Last updated
08/20/2020
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