Organization
THERAPLAY PEDIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA VINSON MPT (OWNER)
(404) 314-5505
Entity
Organization
Contact information
Practice address
80 W WIEUCA RD NE, SUITE 150, ATLANTA, GA 30342-3205
(404) 314-5505
Mailing address
2150 LA DAWN LN NW, ATLANTA, GA 30318-1930
(404) 314-5505
(404) 355-6814
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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