Individual
TARA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
(248) 349-5050
Mailing address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000320
MI
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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