Organization
PLAY WORKS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PORTER LISENBY OTR (OWNER/PRESIDENT)
(404) 358-8461
Entity
Organization
Contact information
Practice address
34 WHITE OAK TRL, BLACK MOUNTAIN, NC 28711-8782
(404) 358-8461
Mailing address
34 WHITE OAK TRL, BLACK MOUNTAIN, NC 28711-8782
(404) 358-8461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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