Organization
PLAY CLAUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J. CLAUSEL BS, ITFS (COMMUNITY BASED REHABILITATIVE SER)
(336) 870-1937
Entity
Organization
Contact information
Practice address
110 BRIGHTLEAF CT, ARCHDALE, NC 27263-3193
(336) 870-1937
Mailing address
110 BRIGHTLEAF CT, ARCHDALE, NC 27263-3193
(336) 870-1937
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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