Perez, Monalisa

Perez, Monalisa is an individual health care provider with primary practice located at 121 Boatyard Dr A , Fort Bragg CA 95437-5751. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Perez, Monalisa can be contacted via phone (707) 964-1208.

Contact Information

Primary practice address
121 Boatyard Dr A Fort Bragg CA 95437-5751
Phone: (707) 964-1208
Fax: (707) 964-2269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT14012 California

Profile Details

NPI number 1700844362
LBN Legal business name Perez, Monalisa
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 10th, 2015 - about 10 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 1700844362 NPPES
California MEDICAID PT0140120

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