Provider Demographics
NPI:1700461167
Name:LET'S PLAY PEDIATRIC PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:LET'S PLAY PEDIATRIC PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:831-216-8944
Mailing Address - Street 1:550 CAMINO EL ESTERO STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3231
Mailing Address - Country:US
Mailing Address - Phone:831-216-8944
Mailing Address - Fax:844-689-1142
Practice Address - Street 1:550 CAMINO EL ESTERO STE 203
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3231
Practice Address - Country:US
Practice Address - Phone:831-216-8944
Practice Address - Fax:844-689-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty