Brainworks Pediatric Group LLC
NPI #1306248794 in O Fallon, Missouri
Provider Information
- NPI Number
- 1306248794
- Entity Type
- Organization
- Organization Name
- Brainworks Pediatric Group LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 17, 2014
- Last Updated
- Sep 17, 2014
Practice Location
Authorized Official
- Name
- MRS. MICHELLE BROCKELMANN
- Title
- MANAGING PARTNER/OWNER
- Phone
- (636) 240-8096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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