Other Side Of Play Llc is a
Occupational Therapist based in Waverly, Georgia. Other Side Of Play Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1454 Horseshoe Cove Rd, Waverly, Georgia. It can be reached at their office (for appointments etc.) via phone at
(850) 294-4666.
NPI number for Other Side Of Play Llc is 1205673183 and their current mailing address is Po Box 5211, Saint Marys, Georgia. Other Side Of Play Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205673183.
Healthcare Provider's Profile
| Full Name | Other Side Of Play Llc |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1454 Horseshoe Cove Rd, Waverly, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205673183
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Other Side Of Play Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205673183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Other Side Of Play Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Other Side Of Play Llc
Po Box 5211,
Saint Marys, GA 31558-5211
Ph: () - | Other Side Of Play Llc
1454 Horseshoe Cove Rd,
Waverly, GA 31565-2110
Ph: (850) 294-4666 |
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