Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1207916 | TX |
NPI | 1285090753 |
---|---|
Provider Name | Dr. Erin Perez |
First Address | Lewisville, TX 75077-3064 |
Second Address | Dallas, TX 75235-7707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2016 |
Last Update Date | 13/01/2016 |