Organization
KIDS PLAY SENSORY GYM LLC
Active
Other names
Kids Play Gym
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN RADER (OWNER)
(812) 822-0605
Entity
Organization
Contact information
Practice address
2010 S YOST AVE, BLOOMINGTON, IN 47403-3188
(812) 822-0605
Mailing address
2010 S YOST AVE, BLOOMINGTON, IN 47403-3188
(812) 822-0605
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
11/05/2024
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