Organization
CHILD'S PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TRODGLEN (OWNER)
(618) 978-0254
Entity
Organization
Contact information
Practice address
3304 SEVEN PINES DR, BELLEVILLE, IL 62221-6638
(618) 978-0254
Mailing address
3304 SEVEN PINES DR, BELLEVILLE, IL 62221-6638
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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