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NPI Code Detail

MEDICARE: MELISSA PEREZ PTA

MEDICARE:   MELISSA  PEREZ  PTA
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
1225200000XPhysical Therapy Assistant160008493IL

General Provider Information

NPI Number : 1457287153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA PEREZ PTA
Provider Business Mailing Address
First Line : 2407 EUCLID AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-2508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2407 EUCLID AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-2508
Country : US
Telephone Number : 708-686-1203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “ MELISSA PEREZ PTA” Practice Location

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