Provider Demographics
NPI:1174634380
Name:PLAYTIME PEDIATRIC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PLAYTIME PEDIATRIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:843-442-7232
Mailing Address - Street 1:116 CAINHOY LANDING RD
Mailing Address - Street 2:
Mailing Address - City:WANDO
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 CAINHOY LANDING RD
Practice Address - Street 2:
Practice Address - City:WANDO
Practice Address - State:SC
Practice Address - Zip Code:29492-7801
Practice Address - Country:US
Practice Address - Phone:843-442-7232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy