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Organization

PLAY FOR LIFE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACI HARRELL MOTR/L (OCCUPATIONAL THERAPIST)
(662) 832-8017
Entity
Organization

Contact information

Practice address
400 W MIDLAND AVE, WOODLAND PARK, CO 80863-3196
(662) 832-8017
Mailing address
56 ASPEN CIR, DIVIDE, CO 80814-9611
(662) 832-8017

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06787256
MS
Enumeration date
03/29/2021
Last updated
03/17/2025
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