NPI 1134442726

Appletree Therapy Services, LLC.

Organisation Clinic/Center O Fallon, IL

Practice location

Address: 634 N Main St Suite 5, O Fallon, IL 62269-3733
Phone: (618) 690-0068

Authorised official

Name: Stacy E Bragg
Title: Managing Member
Phone: (314) 494-6337

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 056005465 (IL)

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Registry record

NPI: 1134442726
Entity type: Organization
NPI issued: 10 Mar 2010
Record last updated: 10 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.