Organization
THERAPLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY FACTORA PT (OWNER)
(812) 332-7529
Entity
Organization
Contact information
Practice address
4651 W VERNAL PIKE, BLOOMINGTON, IN 47404-9334
(812) 332-7529
(812) 339-7529
Mailing address
4651 W VERNAL PIKE, BLOOMINGTON, IN 47404-9334
(812) 332-7529
(812) 339-7529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004408A
IN
225X00000X
Occupational Therapist
31003809A
IN
235Z00000X
Speech-Language Pathologist
22002743A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200265520A
—
IN
Enumeration date
06/13/2006
Last updated
02/22/2023
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