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Organization

PLAYWORKS PEDIATRIC THERAPY AND PLAY GYM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET LEANNE COBB PT (PHYSICAL THERAPIST/MEMBER)
(479) 267-2777
Entity
Organization

Contact information

Practice address
128 SOUTHWINDS RD STE 7, FARMINGTON, AR 72730-8652
(479) 267-2777
Mailing address
128 SOUTHWINDS RD STE 7, FARMINGTON, AR 72730-8652
(479) 267-2777

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2778
AR
225X00000X
Occupational Therapist
OTR2016

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157390721
AR
05
163187721
AR
Enumeration date
03/22/2018
Last updated
03/22/2018
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