Organization
FRUITFUL PLAY DEVELOPMENTAL THERAPY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA D WAHL (PARTNER)
(217) 663-0613
Entity
Organization
Contact information
Practice address
12293 N 1450TH ST, EFFINGHAM, IL 62401-4925
(217) 663-0613
Mailing address
12293 N 1450TH ST, EFFINGHAM, IL 62401-4925
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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