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Organization

PLAYMATE THERAPY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA R PEARSON MS, OTR/L (OCCUPATIONAL THERAPIST)
(678) 598-2095
Entity
Organization

Contact information

Practice address
1464 ALICE AVE, LITHONIA, GA 30058-3241
(678) 598-2095
(678) 669-2652
Mailing address
PO BOX 655, LITHONIA, GA 30058-0655
(678) 598-2095
(678) 669-2652

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OT003666
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000981406C
GA
01
10061625
AMERIGROUP
GA
Enumeration date
10/09/2006
Last updated
08/29/2008
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