Perez, Brenda

Perez, Brenda is an individual health care provider with primary practice located at 216 6Th St , St Augustine FL 32080-7909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Perez, Brenda can be contacted via phone (386) 312-0022.

Contact Information

Primary practice address
216 6Th St St Augustine FL 32080-7909
Phone: (386) 312-0022
Fax: (386) 312-0535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA10087 Florida

Profile Details

NPI number 1942281340
LBN Legal business name Perez, Brenda
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942281340 NPPES
Florida Other PTA10087 LICENSE NUMBER

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