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NPI 1215698113

NPI 1215698113 : HANDS ON PLAY PEDIATRIC THERAPY LLC : ROANOKE, VA

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General NPI Number Information
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    NPI Number           |    1215698113
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDS ON PLAY PEDIATRIC THERAPY LLC 
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Dates
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    Enumeration Date     |    01/04/2022
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    1590 BEAUMONT RD 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24019-5405
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    Country              |    US
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    Telephone            |    540-251-1888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1590 BEAUMONT RD 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24019-5405
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    Country              |    US
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    Telephone            |    540-251-1888
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, OCCUPATIONAL THERAPIST
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    Name                 |     ALLIE  NEWTON 
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    Credential           |    MS,OTR/L
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    Telephone            |    540-251-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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