| NPI | 1750494431 |
|---|---|
| Former Name | ELIZABETH PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009392) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |