Basic Information
Provider Information
NPI: 1780304857
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEREZ-ALARD
FirstName: CHRISTINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2800 N HOWARD ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212184001
CountryCode: US
TelephoneNumber: 4438676964
FaxNumber:  
Practice Location
Address1: 711 W 40TH ST STE 352
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212112100
CountryCode: US
TelephoneNumber: 4102435399
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2022
LastUpdateDate: 09/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  N Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X29173MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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