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Organization

PLAYTIME PEDIATRIC OCCUPATIONAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LYNN ARVIN MOTR/L (OCCUPATIONAL THERAPIST/OWNER)
(270) 475-7003
Entity
Organization

Contact information

Practice address
1155 MASON LN, PEMBROKE, KY 42266-8620
(270) 475-7003
(270) 475-7003
Mailing address
1155 MASON LN, PEMBROKE, KY 42266-8620
(270) 475-7003
(270) 475-7003

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
R4363
KY

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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