| Play All Day Pediatric Therapy Llc | |
|
1001 Boardwalk Springs Pl Ste 107 O Fallon MO 63368-4778 | |
| (636) 443-5379 | |
| Not Available |
| Full Name | Play All Day Pediatric Therapy Llc |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1001 Boardwalk Springs Pl Ste 107, O Fallon, Missouri |
| Authorized Official Name and Position | Trina Nicole Blackwood (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 6364435379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play All Day Pediatric Therapy Llc 101 Chapel Grove Ct Wentzville MO 63385-4339 Ph: (636) 443-5379 | Play All Day Pediatric Therapy Llc 1001 Boardwalk Springs Pl Ste 107 O Fallon MO 63368-4778 Ph: (636) 443-5379 |
| NPI Number | 1124721998 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124721998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
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