# APPLETREE THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447520168
- **Authorized official:** MRS. STACEY BRAGG MS OTR/L (OWNER/MANAGER)
- **Authorized official phone:** (618) 690-0068

## Contact information

- **Practice address:** 634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3746
- **Practice address phone:** (618) 690-0068
- **Mailing address:** 634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3746
- **Mailing address phone:** (618) 690-0068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 056.009598 | IL | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012