Organization
PLAY ALL DAY PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA NICOLE BLACKWOOD MOTR/L (OCCUPATIONAL THERAPIST)
(636) 443-5379
Entity
Organization
Contact information
Practice address
1001 BOARDWALK SPRINGS PL STE 107, O FALLON, MO 63368-4778
(636) 443-5379
Mailing address
101 CHAPEL GROVE CT, WENTZVILLE, MO 63385-4339
(636) 443-5379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
06/06/2023
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