Provider Demographics
NPI:1326379298
Name:THERAPY AT PLAY, INC
Entity Type:Organization
Organization Name:THERAPY AT PLAY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ZARAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOSIENGFIAO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, PAM, SWC
Authorized Official - Phone:925-830-5133
Mailing Address - Street 1:2208 CAMINO RAMON
Mailing Address - Street 2:STE B
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-830-5133
Mailing Address - Fax:925-830-5135
Practice Address - Street 1:2208 CAMINO RAMON
Practice Address - Street 2:STE B
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-830-5133
Practice Address - Fax:925-830-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-16
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251P0200X
CAOT505225XP0200X
CA225XP0200X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty