Organization
HOLISTIC PEDIATRIC OT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DALE CARR OTR/L (PRESIDENT)
(314) 435-6322
Entity
Organization
Contact information
Practice address
1606 E NANCY CT, COLUMBIA, MO 65201-9359
(314) 435-6322
Mailing address
1606 E NANCY CT, COLUMBIA, MO 65201-9359
(314) 435-6322
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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