NPI 1255613303

Theraplay Pediatric Services, INC.

Organisation Early Intervention Provider Agency Atlanta, GA

Practice location

Address: 80 W Wieuca Rd NE Suite 150, Atlanta, GA 30342-3205
Phone: (404) 314-5505
Mailing address: 2150 La Dawn Ln NW, Atlanta, GA 30318-1930

Authorised official

Name: Amanda Vinson
Title: Owner
Phone: (404) 314-5505

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1255613303
Entity type: Organization
NPI issued: 14 Sep 2011
Record last updated: 14 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.