Provider Demographics
NPI:1740808021
Name:MADE TO PLAY PEDIATRIC THERAPY
Entity type:Organization
Organization Name:MADE TO PLAY PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRYNNE
Authorized Official - Middle Name:ASHTON
Authorized Official - Last Name:DUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:254-718-0310
Mailing Address - Street 1:4329 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-5828
Mailing Address - Country:US
Mailing Address - Phone:254-718-0310
Mailing Address - Fax:
Practice Address - Street 1:4329 S PEARL ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-5828
Practice Address - Country:US
Practice Address - Phone:254-718-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty