NPI | 1013426980 |
---|---|
Doing Business As | KIDS AT PLAY |
Entity Type | Organization |
Authorized Contact | JEFFREY W WICKLINE Owner And Therapist 203-217-9366 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 251E00000X Home Health (Licence: NC 9721) |
251E00000X Home Health (Licence: CT 1758) | |
Enumeration Date | 2017-09-23 |
Last Update Date | 2025-04-17 |