Organization
WELL PLAYED PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY BLANKENSHIP DPT (OWNER MANAGER)
(724) 261-1713
Entity
Organization
Contact information
Practice address
13119 MEADOWMERE RD, HUNTERSVILLE, NC 28078-2246
(724) 261-1713
Mailing address
13119 MEADOWMERE RD, HUNTERSVILLE, NC 28078-2246
(724) 261-1713
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922501840
—
NC
Enumeration date
01/31/2022
Last updated
02/22/2022
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