Individual
THERESA ROSE PEROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(440) 749-3783
Mailing address
18321 MALDEN ST APT 4, NORTHRIDGE, CA 91325-3627
(440) 749-3783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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