Organization
COASTAL PLAY 2 GROW THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JARRARD (BILLER)
(843) 568-4786
Entity
Organization
Contact information
Practice address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(317) 750-9879
(888) 965-4405
Mailing address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(888) 965-4405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/22/2017
Last updated
07/17/2023
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