Organization
APPLETREE THERAPY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY E BRAGG MS OTR/L (MANAGING MEMBER)
(314) 494-6337
Entity
Organization
Contact information
Practice address
634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3733
(618) 690-0068
Mailing address
634 N MAIN ST, SUITE 5, O FALLON, IL 62269-3733
(618) 690-0068
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056005465
IL
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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