Organization
SIMPLY PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A WILEY (OWNER)
(042) 341-3704
Entity
Organization
Contact information
Practice address
6478 PUTNAM FORD DR STE 124, WOODSTOCK, GA 30189-6987
(404) 234-1370
Mailing address
3760 SIXES RD STE 126-235, CANTON, GA 30114-8192
(404) 234-1370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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