Organization
INTERACTIVE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA KAY HASS (PRESIDENT)
(314) 541-4283
Entity
Organization
Contact information
Practice address
220 N FORSYTH BLVD, SAINT LOUIS, MO 63105-3616
(314) 541-4283
(314) 725-2451
Mailing address
220 N FORSYTH BLVD, SAINT LOUIS, MO 63105-3616
(314) 541-4283
(314) 725-2451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00962
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740327956
—
MO
Enumeration date
07/12/2009
Last updated
07/12/2009
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