Provider Demographics
NPI:1346913340
Name:PLAY LEARN SHINE, PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PLAY LEARN SHINE, PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-324-1831
Mailing Address - Street 1:719 ADONIA ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3314
Mailing Address - Country:US
Mailing Address - Phone:917-324-1831
Mailing Address - Fax:917-591-8014
Practice Address - Street 1:719 ADONIA ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3314
Practice Address - Country:US
Practice Address - Phone:917-324-1831
Practice Address - Fax:917-591-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty