Individual
DR. ANTHONY PATRICK PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11133 SSG SIMS ST, FORT BLISS, TX 79906
(915) 920-6133
Mailing address
6012 VICENTE GOMEZ, EL PASO, TX 79932-2912
(915) 920-6133
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
12040177
TX
2251X0800X
Orthopedic Physical Therapist
Primary
1240177
TX
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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