Organization
RECESS LIMITLESS PLAY
Active
Parent organization
RECESS PEDIATRIC THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECESS PEDIATRIC THERAPY
Authorized official
THOMAS LONG OTR/L (CEO)
(931) 241-1159
Entity
Organization
Contact information
Practice address
5908 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2654
(931) 241-1159
Mailing address
5908 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2654
(931) 241-1159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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