Organization
PEDIATRIC PLAY THERAPY, LLC
Active
Organization
PEDIATRIC PLAY THERAPY, LLC
Active
Other names
Pediatric Play Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE CHARMAINE BELLGRANTHAM (CEO)
(919) 736-8580
Entity
Organization
Contact information
Practice address
1709 TOMMYS RD, GOLDSBORO, NC 27534-7991
(919) 736-8580
Mailing address
1709 TOMMYS RD, GOLDSBORO, NC 27534-7991
(919) 736-8580
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300049
—
NC
Enumeration date
02/05/2007
Last updated
07/31/2008
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