Organization
PLAY TO GROW OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WAGNER OTR (OWNER)
(989) 600-2497
Entity
Organization
Contact information
Practice address
214 PRINCE ST, CARRBORO, NC 27510-2218
(989) 600-2497
(501) 443-1824
Mailing address
214 PRINCE ST, CARRBORO, NC 27510-2218
(989) 600-2497
(501) 443-1824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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