Individual
MR. NATHAN ALAN PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
3451 PHEASANT MEADOW DR, O FALLON, MO 63368-7324
(636) 379-0092
(636) 978-8299
Mailing address
1409 QUIVER DR, O FALLON, MO 63366-3721
(636) 272-1396
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
113476
MO
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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