Provider Demographics
NPI:1801814058
Name:PEREZ, RENE B (PT)
Entity Type:Individual
Prefix:MRS
First Name:RENE
Middle Name:B
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8151 SOUTH PARK LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4502
Mailing Address - Country:US
Mailing Address - Phone:303-730-7117
Mailing Address - Fax:303-730-7119
Practice Address - Street 1:8151 SOUTH PARK LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4502
Practice Address - Country:US
Practice Address - Phone:303-730-7117
Practice Address - Fax:303-730-7119
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT001572E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist