Provider Demographics
NPI:1174909725
Name:PLAYTIME THERAPY, LLC
Entity type:Organization
Organization Name:PLAYTIME THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-679-1028
Mailing Address - Street 1:911 HETRICK AVE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-3030
Mailing Address - Country:US
Mailing Address - Phone:717-679-1028
Mailing Address - Fax:717-641-3185
Practice Address - Street 1:911 HETRICK AVE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-3030
Practice Address - Country:US
Practice Address - Phone:717-679-1028
Practice Address - Fax:717-641-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency