Theraplay LLC

NPI #1225704802 in Tifton, Georgia

Provider Information

NPI Number: 1225704802
Entity Type: Organization
Organization Name: Theraplay LLC
Primary Specialty: Pediatrics
Enumeration Date: Aug 23, 2021
Last Updated: Oct 12, 2022

Practice Location

Address: 1401 TIFT AVE N STE B
City: Tifton
State: Georgia
ZIP Code: 31794-3577
Phone: (229) 396-5644

Authorized Official

Name: MR. LARRY JAMES RUTLAND II, OTR/L
Title: OWNER
Phone: (678) 761-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Pediatrics	208000000X	Primary

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