Recess Limitless Play

NPI #1174169940 in Mableton, Georgia

Provider Information

NPI Number: 1174169940
Entity Type: Organization
Organization Name: Recess Limitless Play
Subpart: Yes (part of a larger organization)
Parent Organization: RECESS PEDIATRIC THERAPY
Primary Specialty: Occupational Therapist - Pediatrics
Enumeration Date: Nov 26, 2019
Last Updated: Nov 26, 2019

Practice Location

Address: 5908 COBBLESTONE CREEK CIR
City: Mableton
State: Georgia
ZIP Code: 30126-2654
Phone: (931) 241-1159

Authorized Official

Name: THOMAS LONG, OTR/L
Title: CEO
Phone: (931) 241-1159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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Organizations

Provider Name	Specialty	City
Recess Pediatric Therapy	Occupational Therapist - Pediatrics	Mableton	AI Deep Dive

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