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Organization
PLAYTIME CHILDRENS THERAPIES, LLC
Active
Organization
PLAYTIME CHILDRENS THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GAULT (OWNER)
(678) 571-0033
Entity
Organization
Contact information
Practice address
297 W KIEHL AVE, SHERWOOD, AR 72120-2815
(501) 833-1912
Mailing address
3152 DENTON PL NE, ROSWELL, GA 30075-6123
(678) 571-0033
(770) 643-0400
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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