Individual
MS. VIOLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5930 E 31ST ST, SUITE 500, TULSA, OK 74135-5107
(918) 712-7021
(918) 712-9326
Mailing address
3054 S MADISON AVE, TULSA, OK 74114-5231
(918) 712-7021
(918) 712-9326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1279
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100634320 A
—
OK
05
—
100634320 B
—
OK
05
—
100668060 C
—
OK
Enumeration date
08/17/2006
Last updated
08/03/2011
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