Thera-peds, Llc | |
115 Progress Pkwy Sullivan MO 63080-2359 | |
(573) 468-3373 | |
Not Available |
Full Name | Thera-peds, Llc |
---|---|
Speciality | Clinic/center |
Location | 115 Progress Pkwy, Sullivan, Missouri |
Authorized Official Name and Position | Laura Peregoy (MANAGER) |
Authorized Official Contact | 5732591425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thera-peds, Llc 10276 Timmermann Ln Sullivan MO 63080-6436 Ph: () - | Thera-peds, Llc 115 Progress Pkwy Sullivan MO 63080-2359 Ph: (573) 468-3373 |
NPI Number | 1962878488 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 12/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962878488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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