Thera-Peds, LLC

NPI #1962878488 in Sullivan, Missouri

Provider Information

NPI Number: 1962878488
Entity Type: Organization
Organization Name: Thera-Peds, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 19, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 115 PROGRESS PKWY
City: Sullivan
State: Missouri
ZIP Code: 63080-2359
Phone: (573) 468-3373

Authorized Official

Name: LAURA PEREGOY, OTR/L
Title: MANAGER
Phone: (573) 259-1425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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