Organization
THERA-PLAY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROBERSON STEVENS OTR/L (OCCUPATIONAL THERAPIST)
(252) 809-9389
Entity
Organization
Contact information
Practice address
201 WOODLAWN DR, WILLIAMSTON, NC 27892-1756
(252) 809-9389
(252) 792-1002
Mailing address
201 WOODLAWN DR, WILLIAMSTON, NC 27892-1756
(252) 809-9389
(252) 792-1002
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1719
NC
252Y00000X
Early Intervention Provider Agency
1719
NC
Other
Enumeration date
08/05/2009
Last updated
05/19/2021
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