# THE PEDIATRIC PLAYHOUSE

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

## Provider details

- **NPI number:** 1275268005
- **Authorized official:** MRS. BRANDI AKIN OT (OWNER)
- **Authorized official phone:** (479) 858-2216

## Contact information

- **Practice address:** 701 E MAIN ST STE 16, RUSSELLVILLE, AR 72801-5209
- **Practice address phone:** (479) 858-2216
- **Mailing address:** PO BOX 10, POTTSVILLE, AR 72858-0010
- **Mailing address phone:** (479) 858-2216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2022
- **Last updated:** 07/16/2022