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Stephanie Jane Perez

Rehabilitation Practitioner in Pasadena, CA. Individual provider (NPI-1).

NPI number1629652003
StatusActive
Last updated in NPPESOct 16, 2023

Details

NPI
1629652003
Entity type
Individual (NPI-1)
Name
Stephanie Jane Perez
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2021
Certification date
Oct 16, 2023
Last updated
Oct 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

940 Avenue 64
Pasadena, CA 91105-2711

Phone 323-543-2800

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711

Phone 323-543-2800

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