Organization
PLAYFUL LEARNING PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY JOHNSTON OTR/L (OWNER)
(907) 317-9349
Entity
Organization
Contact information
Practice address
12812 OLD GLENN HWY STE A4, EAGLE RIVER, AK 99577-7003
(907) 317-9349
Mailing address
12110 BUSINESS BLVD STE A413, EAGLE RIVER, AK 99577-7725
(907) 317-9349
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2045
AK
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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