NPI 1477304483
Pediatric Place, LLC
Practice location
- Address
- 210 S 2nd St STE a, Clinton, MO 64735-2172
- Phone
- (660) 885-2394
- Fax
- (660) 383-1650
Authorised official
- Name
- Jessica Schuler
- Title
- Credentialing Specialist
- Phone
- (660) 383-1199
Registered specialties
Rehabilitation Practitioner
Primary
Registry record
- NPI
- 1477304483
- Entity type
- Organization
- NPI issued
- 28 Mar 2024
- Record last updated
- 28 Mar 2024
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.