Organization
IMAGINE & PLAY LLC
Active
Other names
501 Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY LACY MS, CCC-SLP (CO-OWNER)
(501) 733-0211
Entity
Organization
Contact information
Practice address
300 GRAND VALLEY RD, GREENBRIER, AR 72058-8823
(501) 733-0211
Mailing address
300 GRAND VALLEY RD, GREENBRIER, AR 72058-8823
(501) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760806152
—
AR
Enumeration date
07/12/2024
Last updated
08/14/2024
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