Provider Demographics
NPI:1023351525
Name:PLAY AND GROW PHYSICAL THERAPY AND SPEECH LANGUAGE PATHOLOGY PLLC
Entity type:Organization
Organization Name:PLAY AND GROW PHYSICAL THERAPY AND SPEECH LANGUAGE PATHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-837-9712
Mailing Address - Street 1:140 DARROW PL
Mailing Address - Street 2:SUITE 24E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1802
Mailing Address - Country:US
Mailing Address - Phone:917-837-9712
Mailing Address - Fax:212-477-8164
Practice Address - Street 1:140 DARROW PLACE
Practice Address - Street 2:SUITE 24E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475
Practice Address - Country:US
Practice Address - Phone:917-837-9712
Practice Address - Fax:212-477-8164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X, 225100000X
NY513282252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty