Doctor Name: | MR. KENNETH DELORIA PEREZ |
NPI Number: | 1104803139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 0500787QA |
Business Practice Address: | 5214 S East St Bldg D, Ste 1, Hts Outpatient Therapy Services Indianapolis, IN - 462271917 |
Business Phone Number: | 8004864449 |
Business Fax Number: | 3177803745 |
Mailing Address: | 5214 S East St, Bldg D, Ste 1 INDIANAPOLIS |
State: | IN |
Postal Code: | 462271917 |
Phone Number: | 8004864449 |
Fax Number: | 3177803745 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0500787QA |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |