Dr. Marybeth Pereira
Rehabilitation Practitioner
1 Jefferson Barracks Drjefferson Barracks Va Medical Center
St Louis
, Missouri 63125-4199
Dr. Marybeth Pereira
Rehabilitation Practitioner
1 Jefferson Barracks Drjefferson Barracks Va Medical Center
St Louis
, Missouri 63125-4199
(314) 965-1208
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Dr. Marybeth Pereira
- 12824 Topping Acres
- Saint Louis, MO
- Zip : 63131-1436
- Phone : (314) 965-1208
Second Address
- Dr. Marybeth Pereira
- 1 Jefferson Barracks Drjefferson Barracks Va Medical Center
- St Louis, MO
- Zip : 63125-4199
- Fax : (314) 845-5039
- Phone : (314) 894-6677
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | R9667 | MO |
National Provider Identifier
| NPI | 1053407270 |
|---|---|
| Provider Name | Dr. Marybeth Pereira |
| First Address | Saint Louis, MO 63131-1436 |
| Second Address | St Louis, MO 63125-4199 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.