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General NPI Number Information
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NPI Number | 1760753545
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Entity Type | Organization
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Legal Business Name | KIDZ AT PLAY THERAPY, PLLC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 927 N MAIN ST
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City | MARION
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State | VA
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Zip | 24354-4117
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Country | US
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Telephone | 276-783-7529
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Fax | 276-783-7555
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Provider Business Mailing Address
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Address Line | 927 N MAIN ST
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City | MARION
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State | VA
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Zip | 24354-4117
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Country | US
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Telephone | 276-783-7529
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Fax | 276-783-7555
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BROOKE LITTLE HYLTON
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Credential | OTR/L/BS
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Telephone | 276-780-3374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 0119003180
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 2202006031
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 0119003180
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2202006031
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License Number State | VA
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