Most Relevant Information
Provider Data
| NPI Number: | 1003050469 |
| Provider Name: | JAMES ROBERT PERRONE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P160040882W |
Most Important Dates
| Enumeration Date: | 04/28/2009 |
| Last Updated: | 04/28/2009 |
Provider Practice Location
1640 REDSTONE CTR DR
SUITE 200
PARK CITY
UT
840987605
Practice Location Phone/Fax
| Phone: | 4356450788 |
| Fax: |
Provider Mailing Location
1640 REDSTONE CTR DR
SUITE 200
PARK CITY
UT
840987605
Provider Mailing Phone/Fax
| Phone: | 4356450788 |
| Fax: |