The Play Hut Pllc | |
635 W Main St, Lebanon, VA 24266-3809 | |
(276) 591-9922 | |
Not Available |
Full Name | The Play Hut Pllc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 635 W Main St, Lebanon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235736547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Kelsey Cherie Bush |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063945699 PECOS PAC ID: 3779900808 Enrollment ID: I20200903000565 |
Provider Name | Jessica Anne Moret |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1326661281 PECOS PAC ID: 7113340662 Enrollment ID: I20211005000766 |
Mailing Address | Practice Location Address |
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The Play Hut Pllc 2696 Green Valley Rd, Lebanon, VA 24266-6526 Ph: (276) 591-9922 | The Play Hut Pllc 635 W Main St, Lebanon, VA 24266-3809 Ph: (276) 591-9922 |
Kelsey Bush, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 238 Green Valley Rd, Lebanon, VA 24266 Phone: 276-591-9922 | |
Shelly Tincher, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2023 Cross Rds, Lebanon, VA 24266 Phone: 276-971-3274 |