Organization
KINETIC PLAY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDY HUTCHISON MPT (OWNER)
(601) 622-7989
Entity
Organization
Contact information
Practice address
308 TURTLE HOLW, BRANDON, MS 39047-5058
(601) 622-7989
(601) 258-6186
Mailing address
308 TURTLE HOLW, BRANDON, MS 39047-5058
(601) 622-7989
(601) 258-6186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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