Healthcare Provider Details

I. General information

NPI: 1659107480
Provider Name (Legal Business Name): PLAY CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 WILSHIRE BLVD STE 206
LOS ANGELES CA
90025-1176
US

IV. Provider business mailing address

12121 WILSHIRE BLVD STE 206
LOS ANGELES CA
90025-1176
US

V. Phone/Fax

Practice location:
  • Phone: 310-709-3006
  • Fax:
Mailing address:
  • Phone: 310-709-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BINDI GUDHKA
Title or Position: OWNER
Credential: MA, OTR/L, SWC
Phone: 310-295-8066