Provider Demographics
NPI:1396709036
Name:PEREZ, MARGARET GUGLIELMINO (MPT, CSCS)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:GUGLIELMINO
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MPT, CSCS
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ROSE
Other - Last Name:GUGLIELMINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT, CSCS
Mailing Address - Street 1:1123 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-4511
Mailing Address - Country:US
Mailing Address - Phone:352-258-3457
Mailing Address - Fax:
Practice Address - Street 1:1123 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-4511
Practice Address - Country:US
Practice Address - Phone:352-258-3457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20292225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist