Healthcare Provider Details

I. General information

NPI: 1013656362
Provider Name (Legal Business Name): THERAPLAY PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E 25TH AVE
COVINGTON LA
70433-2820
US

IV. Provider business mailing address

106 E 25TH AVE
COVINGTON LA
70433-2820
US

V. Phone/Fax

Practice location:
  • Phone: 985-325-5352
  • Fax:
Mailing address:
  • Phone: 985-325-5352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN DAVIS
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: LOTR
Phone: 985-327-5352