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NPI Code Detail

MEDICARE: DR. ANTHONY COREY PERELLA DPT

MEDICARE:  DR. ANTHONY COREY PERELLA  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4431SC

General Provider Information

NPI Number : 1124086913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY COREY PERELLA DPT
Provider Business Mailing Address
First Line : 1943 GLENNS BAY ROAD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-4406
Country : US
Telephone Number : 843-650-1162
Fax Number :
Provider Business Practice Location Address
First Line : 1943 GLENNS BAY RD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-4833
Country : US
Telephone Number : 843-650-1162
Fax Number : 843-650-1174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 05/07/2008

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Directions to “ DR. ANTHONY COREY PERELLA DPT” Practice Location

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