Provider Demographics
NPI:1497295943
Name:LITTLE HANDS AT PLAY THERAPY, LLC
Entity Type:Organization
Organization Name:LITTLE HANDS AT PLAY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-719-5736
Mailing Address - Street 1:4300 ROGERS AVE
Mailing Address - Street 2:SUITE 20 #321
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3143
Mailing Address - Country:US
Mailing Address - Phone:479-719-5736
Mailing Address - Fax:
Practice Address - Street 1:4300 ROGERS AVE
Practice Address - Street 2:SUITE 20 #321
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3143
Practice Address - Country:US
Practice Address - Phone:479-719-5736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty