Individual
AMELIA LYNN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 S NEW BALLAS RD, SUITE 200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
Mailing address
1 EIGHTH GREEN CT, BELLEVILLE, IL 62220-4831
(618) 795-0006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2009030107
MO
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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