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Organization

THE THERAPY PLAYGROUND

Active
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Organization

THE THERAPY PLAYGROUND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL WAYNE WILDER OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(606) 269-7680
Entity
Organization

Contact information

Practice address
193 WILLIAM WILDER RD, PINEVILLE, KY 40977-8508
(606) 269-7680
Mailing address
193 WILLIAM WILDER RD, PINEVILLE, KY 40977-8508

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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