Individual
PETER PINKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
(636) 272-4484
Mailing address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
(636) 272-4484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015012514
MO
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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