Organization
CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN GRAFF (EXECUTIVE DIRECTOR)
(660) 826-4400
Entity
Organization
Contact information
Practice address
1500 EWING DR, SEDALIA, MO 65301-2396
(660) 826-4400
(660) 827-5869
Mailing address
1500 EWING DR, SEDALIA, MO 65301-2396
(660) 826-4400
(660) 827-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151306404
—
MO
05
—
851306407
—
MO
05
—
851306415
—
MO
05
—
851306423
—
MO
05
—
851306431
—
MO
05
—
851306456
—
MO
05
—
851306464
—
MO
05
—
851306472
—
MO
05
—
851306480
—
MO
05
—
856177407
—
MO
Enumeration date
05/22/2008
Last updated
02/25/2013
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