Organization
KIDZ PLAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY SCHUELER JARRARD OTR/L (OWNER/LEAD THERAPIST)
(843) 568-4786
Entity
Organization
Contact information
Practice address
1045 MATHIS FERRY RD, MT PLEASANT, SC 29464-2616
(843) 568-4786
Mailing address
1045 MATHIS FERRY RD, MT PLEASANT, SC 29464-2616
(843) 568-4786
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2776
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1529
—
SC
Enumeration date
06/06/2008
Last updated
07/28/2008
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