Organization
PEDIATRIC PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FRY MA, CCC-SLP (OWNER)
(716) 400-4569
Entity
Organization
Contact information
Practice address
1350 THERNS FERRY DR, FORT MILL, SC 29708-0268
(716) 400-4569
Mailing address
1350 THERNS FERRY DR, FORT MILL, SC 29708-0268
(716) 400-4569
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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