Organization
KIDS AT PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA L O'CALLAGHAN (OWNER)
(253) 447-8216
Entity
Organization
Contact information
Practice address
16501 64TH ST E STE D, SUMNER, WA 98390-3001
(253) 447-8216
(253) 447-8789
Mailing address
16501 64TH ST E STE D, SUMNER, WA 98390-3001
(253) 447-8216
(253) 447-8789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602939253
WA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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