| Holistic Pediatric Ot, Inc. | |
|
1606 E Nancy Ct Columbia MO 65201-9359 | |
| (314) 435-6322 | |
| Not Available |
| Full Name | Holistic Pediatric Ot, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1606 E Nancy Ct, Columbia, Missouri |
| Authorized Official Name and Position | Barbara Dale Carr (PRESIDENT) |
| Authorized Official Contact | 3144356322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Pediatric Ot, Inc. 1606 E Nancy Ct Columbia MO 65201-9359 Ph: (314) 435-6322 | Holistic Pediatric Ot, Inc. 1606 E Nancy Ct Columbia MO 65201-9359 Ph: (314) 435-6322 |
| NPI Number | 1497302152 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497302152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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