NPI 1558348789

Nathan Alan Place, ATC

Practitioner Rehabilitation Practitioner O Fallon, MO

Practice location

Address: 3451 Pheasant Meadow Dr, O Fallon, MO 63368-7324
Phone: (636) 379-0092
Fax: (636) 978-8299
Mailing address: 1409 Quiver Dr, O Fallon, MO 63366-3721

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 113476 (MO)

Other Rehabilitation Practitioner providers in Missouri →

Registry record

NPI: 1558348789
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2005
Record last updated: 8 Jul 2007

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.