| Mitan Pediatric Therapy Inc | |
|
891 Meadowview Lane, Columbia, IL 62236 | |
| (618) 806-8461 | |
| Not Available |
| Full Name | Mitan Pediatric Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 891 Meadowview Lane, Columbia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184704900 | NPI | - | NPPES |
| 06732018 | Other | BLUE CROSS BLUE SHIELD OF | |
| 7058311 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2000155595 (Missouri) | Secondary |
| 225X00000X | Occupational Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mitan Pediatric Therapy Inc 891 Meadowview Lane, Columbia, IL 62236 Ph: (618) 806-8461 | Mitan Pediatric Therapy Inc 891 Meadowview Lane, Columbia, IL 62236 Ph: (618) 806-8461 |
Kendra Leigh Schmieg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 253 Bradington Dr, Columbia, IL 62236 Phone: 618-281-6800 | |
Ashley Nicole Conway, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 480 Dd Rd, Columbia, IL 62236 Phone: 618-215-6174 | |
Early Wonders Pediatrics, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Terry Drive, Columbia, IL 62236 Phone: 618-205-6223 | |
Robin Mitan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 891 Meadowview Lane, Columbia, IL 62236 Phone: 618-806-8461 | |
Mindy Renee Mcfarland, M.O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 Eleven S Ste 1b, Columbia, IL 62236 Phone: 618-281-9699 Fax: 618-281-9698 |