Provider Demographics
NPI:1326350828
Name:PEREZ, CHRISTINA TO (ATC, LAT OT-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:TO
Last Name:PEREZ
Suffix:
Gender:F
Credentials:ATC, LAT OT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 TERON TRCE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1666
Mailing Address - Country:US
Mailing Address - Phone:706-426-1984
Mailing Address - Fax:
Practice Address - Street 1:5445 MERIDIAN MARK RD STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4767
Practice Address - Country:US
Practice Address - Phone:404-255-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0025602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer