Individual
MS. MICHELLE LYNN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1628 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3062
(757) 496-8001
Mailing address
1628 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603165
VA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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