Provider Demographics
NPI:1033501655
Name:PLAYWORKS OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PLAYWORKS OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:928-771-9327
Mailing Address - Street 1:3050 N NAVAJO DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-8663
Mailing Address - Country:US
Mailing Address - Phone:928-771-9327
Mailing Address - Fax:928-771-9519
Practice Address - Street 1:3050 N NAVAJO DR
Practice Address - Street 2:SUITE 110
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8663
Practice Address - Country:US
Practice Address - Phone:928-771-9327
Practice Address - Fax:928-771-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5397261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation