Provider Demographics
NPI:1275901886
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:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
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:917-837-9711
Mailing Address - Fax:
Practice Address - Street 1:140 DARROW PL
Practice Address - Street 2:SUITE 24E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1802
Practice Address - Country:US
Practice Address - Phone:917-837-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021351252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency