Individual
ALBERT WILHELM PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3550 MOHEGAN LAKE, MOHEGAN LAKE, NY 10547
(914) 623-2934
Mailing address
410 WASHINGTON ST, PEEKSKILL, NY 10566-4530
(914) 623-2934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22571
NY
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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