Provider Demographics
NPI:1346771755
Name:MOVE N PLAY, LLC
Entity Type:Organization
Organization Name:MOVE N PLAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARZULLI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-368-2656
Mailing Address - Street 1:PO BOX 7047
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29938-7047
Mailing Address - Country:US
Mailing Address - Phone:717-368-2656
Mailing Address - Fax:
Practice Address - Street 1:41 FAIRWAY WINDS PL
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-5547
Practice Address - Country:US
Practice Address - Phone:717-368-2656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty