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Contact Information

MARK C PERALTA, D.P.T
19755 ARBOR RIDGE DR
WALNUT, CA91789-5315
 Phone: 909-762-1298
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK C PERALTA · (Male)

NPI # 1578015350
Status Active
Credentials D.P.T
Entity Individual
Enumeration date 10/27/2016
Last updated 10/27/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 38254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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