# THERAPLAY PEDIATRIC SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255613303
- **Authorized official:** AMANDA VINSON MPT (OWNER)
- **Authorized official phone:** (404) 314-5505

## Contact information

- **Practice address:** 80 W WIEUCA RD NE, SUITE 150, ATLANTA, GA 30342-3205
- **Practice address phone:** (404) 314-5505
- **Mailing address:** 2150 LA DAWN LN NW, ATLANTA, GA 30318-1930
- **Mailing address phone:** (404) 314-5505
- **Mailing address fax:** (404) 355-6814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011