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Organization

CHILDS PLAY REHABILITATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER L JACKSON O.T. (PRESIDENT)
(828) 835-7073
Entity
Organization

Contact information

Practice address
85 WELLS ST, MURPHY, NC 28906-8102
(828) 835-7073
(828) 644-9814
Mailing address
830 GRAHAM RD, MURPHY, NC 28906-8957
(828) 835-7073
(828) 644-9814

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4032
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1211F
BLUE CROSS BLUE SHEILD PR
NC
Enumeration date
01/03/2007
Last updated
08/22/2020
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