Healthcare Provider Details

I. General information

NPI: 1265795496
Provider Name (Legal Business Name): AARON A PERLMAN PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 NUWAY CIR
LENOIR NC
28645-3656
US

IV. Provider business mailing address

PO BOX 64
VALDESE NC
28690-0064
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-8500
  • Fax:
Mailing address:
  • Phone: 828-430-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA3213
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: