Doctor Name: | MRS. MA AMIL PERILLA |
NPI Number: | 1740519784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 19495 |
Business Practice Address: | 201 Hall Highway Crisfield, MD - 21817 |
Business Phone Number: | 4109681200 |
Business Fax Number: | 4109683178 |
Mailing Address: | 201 Hall Highway, CRISFIELD |
State: | MD |
Postal Code: | 21817 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/22/2009 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 04/16/2012 |
NPI Reactivation Date: | 08/24/2012 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 19495 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |