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Organization
THERA-PLAY PEDIATRIC SERVICES
Active
Organization
THERA-PLAY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN OLIVER CCC-SLP (OWNER)
(479) 856-6400
Entity
Organization
Contact information
Practice address
3801 MAIN DR STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Mailing address
3801 MAIN DR STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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