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Organization
THERAPY PLAYGROUND, INC
Active
Organization
THERAPY PLAYGROUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L DIBB CCC-SLP (PRESIDENT)
(910) 423-5622
Entity
Organization
Contact information
Practice address
1555 CAIN RD, FAYETTEVILLE, NC 28303-3078
(910) 822-3490
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 822-3490
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
3200
NC
Other
Enumeration date
04/03/2013
Last updated
03/15/2021
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