| Appletree Therapy Services, Llc. | |
|
634 N Main St Suite 5 O Fallon IL 62269-3733 | |
| (618) 690-0068 | |
| Not Available |
| Full Name | Appletree Therapy Services, Llc. |
|---|---|
| Speciality | Clinic/center |
| Location | 634 N Main St, O Fallon, Illinois |
| Authorized Official Name and Position | Stacy E Bragg (MANAGING MEMBER) |
| Authorized Official Contact | 3144946337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appletree Therapy Services, Llc. 634 N Main St Suite 5 O Fallon IL 62269-3733 Ph: (618) 690-0068 | Appletree Therapy Services, Llc. 634 N Main St Suite 5 O Fallon IL 62269-3733 Ph: (618) 690-0068 |
| NPI Number | 1134442726 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134442726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 056005465 (Illinois) | Primary |
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