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Individual

ALISA PERREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 S CANFIELD NILES RD, YOUNGSTOWN, OH 44515-4024
(330) 799-4446
Mailing address
1934 COUNTRYSIDE DR, AUSTINTOWN, OH 44515-5573
(330) 792-0432

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03055
LICENSE#
OH
Enumeration date
08/30/2006
Last updated
07/08/2007
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