Organization
PEDIATRIC PLACE, LLC
Active
Organization
PEDIATRIC PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SCHULER (CREDENTIALING SPECIALIST)
(660) 383-1199
Entity
Organization
Contact information
Practice address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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