Provider Demographics
NPI:1629618707
Name:PLAY AT HOME PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PLAY AT HOME PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINT
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:215-260-2898
Mailing Address - Street 1:105 CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1603
Mailing Address - Country:US
Mailing Address - Phone:215-260-2898
Mailing Address - Fax:
Practice Address - Street 1:105 CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1603
Practice Address - Country:US
Practice Address - Phone:215-260-2898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty