Individual
MAURICIO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
455 MAGNOLIA AVE APT #9, LONG BEACH, CA 90802
(458) 292-7228
Mailing address
455 MAGNOLIA AVE APT 9, LONG BEACH, CA 90802-6655
(458) 292-7228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53224
CA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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