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NPI Code Detail

MEDICARE: PLAYMATTERS, INC.

MEDICARE: PLAYMATTERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOTP000010GA

General Provider Information

NPI Number : 1477961118
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAYMATTERS, INC.
Provider Business Mailing Address
First Line : 2824 JASMINE CT NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-1432
Country : US
Telephone Number : 404-474-0506
Fax Number : 404-474-0515
Provider Business Practice Location Address
First Line : 4641 ROSWELL RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-3073
Country : US
Telephone Number : 404-474-0506
Fax Number : 404-474-0515
Authorized Official
Title or Position : TREASURER
Name : MR. MICHAEL RAY TAYLOR
Credential :
Telephone Number : 404-474-0506
Provider Enumeration Date : 07/25/2014
Last Update Date : 06/10/2024

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Directions to “PLAYMATTERS, INC. ” Practice Location

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