Organization
PEDIATRIC PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA WILT OTA (OCCUPATIONAL THERAPIST ASSISTANT)
(660) 885-2394
Entity
Organization
Contact information
Practice address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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