MR. Nathan Alan Place, A.T.,C.

NPI #1558348789 in O Fallon, Missouri

Provider Information

NPI Number
1558348789
Entity Type
Individual
Name
MR. Nathan Alan Place, A.T.,C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Credential
A.T.,C.
Enumeration Date
Dec 29, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
3451 PHEASANT MEADOW DR
ZIP Code
63368-7324
Phone
(636) 379-0092

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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