Individual
SHIRLEY PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
15533 NORGE CT, BOWIE, MD 20716-1379
(301) 218-8348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00718
MD
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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