Individual
AUTUMN LESSLIE REDETTE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
17872 GILLETTE AVE, IRVINE, CA 92614-6534
(714) 544-2188
Mailing address
11 TIOGA PL, IRVINE, CA 92602-0740
(714) 604-8730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301844
CA
Other
Enumeration date
03/20/2022
Last updated
02/04/2025
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