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NPI Code Detail

MEDICARE: MOVE & PLAY THERAPY FOR CHILDREN LLC

MEDICARE: MOVE & PLAY THERAPY FOR CHILDREN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1073167649
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOVE & PLAY THERAPY FOR CHILDREN LLC
Provider Business Mailing Address
First Line : 9520 STATELINE RD
Second Line :
City : NORTH EAST
State : PA
Zip : 16428-5411
Country : US
Telephone Number : 814-746-9548
Fax Number :
Provider Business Practice Location Address
First Line : 9520 STATELINE RD
Second Line :
City : NORTH EAST
State : PA
Zip : 16428-5411
Country : US
Telephone Number : 814-746-9548
Fax Number :
Authorized Official
Title or Position : OWNER, PHYSICAL THERAPIST
Name : MRS. EMILY ANN ASPDEN
Credential : MPT
Telephone Number : 814-746-9548
Provider Enumeration Date : 07/31/2019
Last Update Date : 07/31/2019

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Directions to “MOVE & PLAY THERAPY FOR CHILDREN LLC ” Practice Location

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