Individual
EMILY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
790 N HWY 67, FLORISSANT, MO 63031
(314) 972-1442
(314) 972-1533
Mailing address
13537 BARRETT PARKWAY DRIVE, SUITE 105, BALLWIN, MO 63021
(314) 821-9126
(314) 821-9142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001016310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22371511
MEDICARE
MO
Enumeration date
05/18/2007
Last updated
08/21/2007
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