Healthcare Provider Details

I. General information

NPI: 1265942254
Provider Name (Legal Business Name): PLAYTIME SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2017
Last Update Date: 10/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 E THOUSAND OAKS BLVD STE 200
THOUSAND OAKS CA
91362-6219
US

IV. Provider business mailing address

2750 RESERVOIR DR
SIMI VALLEY CA
93065-1332
US

V. Phone/Fax

Practice location:
  • Phone: 833-684-5437
  • Fax:
Mailing address:
  • Phone: 805-320-6602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1889
License Number StateCA

VIII. Authorized Official

Name: MRS. ROBIN SCHLUNDT BODIEN
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential: OT
Phone: 805-320-6602