Organization
PROSPEROUS PLAY THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LATOCHE DPT (OWNER)
(304) 613-9277
Entity
Organization
Contact information
Practice address
1897 SPRUCE FORK RD, BUCKHANNON, WV 26201-4098
(304) 613-9277
Mailing address
PO BOX 465, BUCKHANNON, WV 26201-0465
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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