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Organization
APPLETREE THERAPY SERVICES, LLC
Active
Organization
APPLETREE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY BRAGG MS OTR/L (OWNER/MANAGER)
(618) 690-0068
Entity
Organization
Contact information
Practice address
634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3746
(618) 690-0068
Mailing address
634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3746
(618) 690-0068
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056.009598
IL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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