Organization
PLAYOLOGY PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAVILAH CHAMPOUX MS, OTR (OWNER/OCCUPATIONAL THERAPIST)
(574) 524-0036
Entity
Organization
Contact information
Practice address
106 E PICKWICK DR, SYRACUSE, IN 46567-1713
(574) 524-0036
Mailing address
3305 GRAPE RD STE 3, MISHAWAKA, IN 46545-2714
(574) 217-7423
(574) 213-5319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/30/2022
Last updated
04/30/2026
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