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Organization
THERAPY PLAYGROUND, INC
Active
Organization
THERAPY PLAYGROUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L ROSENTHAL-DIBB MS CCC-SLP (PRESIDENT)
(910) 423-5622
Entity
Organization
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013PW
BC/BS
NC
05
—
7211015
—
NC
Enumeration date
11/07/2005
Last updated
03/15/2021
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