Organization
PLAYFUL MINDS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NICHOLS OTR/L (CEO/ OCCUPATIONAL THERAPIST)
(770) 362-6079
Entity
Organization
Contact information
Practice address
11373 OAK ALLEY DR S, GRAND BAY, AL 36541-4489
(770) 362-6079
(251) 252-0367
Mailing address
11373 OAK ALLEY DR S, GRAND BAY, AL 36541-4489
(770) 362-6079
(251) 252-0367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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