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Mr. Nathan Alan Place, AT,C
Rehabilitation Practitioner in O Fallon, Missouri
NPI 1558348789

Nathan Alan Place is a Rehabilitation Practitioner based in O Fallon, MO. Nathan Alan Place practices in O Fallon, MO and has the professional credentials of AT,C. The NPI Number for Nathan Alan Place is 1558348789 and holds a License No. 113476 (Missouri).

The current practice location address for Nathan Alan Place is 3451 Pheasant Meadow Dr, O Fallon, MO and can be reached out via phone at 636-379-0092 and via fax at 636-978-8299. You can also correspond with Nathan Alan Place through the mailing address at 1409 QUIVER DR, O FALLON, MO - 63366-3721 (mailing address contact number: 636-272-1396).

Location: 3451 Pheasant Meadow Dr, O Fallon, MO, 63366-3721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558348789
Provider Name
Nathan Alan Place
Credential
AT,C
Provider Entity Type
Individual
Gender
Male
Address
3451 Pheasant Meadow Dr, O Fallon, MO, 63366-3721
Phone Number
636-379-0092
Fax Number
636-978-8299
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3451 Pheasant Meadow Dr
City
O Fallon
State
Missouri
Zip
63368-7324
Phone Number
636-379-0092
Fax Number
636-978-8299
person
Provider Business Mailing Address Details
Address
1409 Quiver Dr
City
O Fallon
State
Missouri
Zip
63366-3721
Phone Number
636-272-1396
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
113476 (Missouri)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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