Healthcare Provider Details

I. General information

NPI: 1811680051
Provider Name (Legal Business Name): PLAYFUL PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HALL AVE
BIRMINGHAM AL
35209-6529
US

IV. Provider business mailing address

100 HALL AVE
BIRMINGHAM AL
35209-6529
US

V. Phone/Fax

Practice location:
  • Phone: 504-615-5351
  • Fax:
Mailing address:
  • Phone: 504-615-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNE NEHLIG WALKER
Title or Position: OCCUPATIONAL THERAPIST
Credential: MS OTR/L
Phone: 504-615-5351