Organization
THERAPY PLAYGROUND, INC
Active
Parent organization
THERAPY PLAYGROUND, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPY PLAYGROUND, INC
Authorized official
JENNIFER L ROSENTHAL-DIBB MC CCC-SLP (PRESIDENT)
(910) 423-5622
Entity
Organization
Contact information
Practice address
103 SLEEPY DR STE GHI, SPRING LAKE, NC 28390-3324
(910) 423-5622
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146
—
NC
Enumeration date
06/19/2018
Last updated
06/19/2018
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