Organization
HUDSON PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY D MILLER SLP (PRESIDENT)
(270) 776-7027
Entity
Organization
Contact information
Practice address
1225 ILLINI DR, O FALLON, IL 62269-3548
(270) 776-7027
Mailing address
1225 ILLINI DR, O FALLON, IL 62269-3548
(270) 776-7027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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