Individual
ELLEN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1423 ALASKA AVE, DALLAS, TX 75216-1005
(512) 665-6116
Mailing address
1423 ALASKA AVE, DALLAS, TX 75216-1005
(512) 665-6116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135060
TX
225200000X
Physical Therapy Assistant
25852
FL
Other
Enumeration date
08/06/2015
Last updated
04/08/2024
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