Play All Day Pediatric Therapy LLC
Occupational Therapist, Pediatrics in O Fallon, MO. Organization (NPI-2).
NPI number1124721998
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1124721998
- Entity type
- Organization (NPI-2)
- Legal business name
- Play All Day Pediatric Therapy LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
1001 Boardwalk Springs Pl Ste 107O Fallon, MO 63368-4778
Phone 636-443-5379
Mailing address
101 Chapel Grove CtWentzville, MO 63385-4339
Phone 636-443-5379
Authorized official
Trina Nicole Blackwood
Occupational Therapist
6364435379
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Other Pediatric Occupational Therapist providers in O Fallon, MO
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All 5 Pediatric Occupational Therapist providers in O Fallon · All 1,566 providers in O Fallon
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