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NPI Code Detail

MEDICARE: AUNDREA CARMEN JUDITH PEREZ DPT

MEDICARE: AUNDREA CARMEN JUDITH PEREZ 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 Therapist4399NV

General Provider Information

NPI Number : 1912513292
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUNDREA CARMEN JUDITH PEREZ DPT
Provider Business Mailing Address
First Line : 2800 E DESERT INN RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3632
Country : US
Telephone Number : 702-294-7499
Fax Number : 702-735-0097
Provider Business Practice Location Address
First Line : 2800 E DESERT INN RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3632
Country : US
Telephone Number : 702-294-7499
Fax Number : 702-735-0097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/22/2020

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Directions to “ AUNDREA CARMEN JUDITH PEREZ DPT” Practice Location

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