| Grow Thru Play, Llc | |
|
1638 South St Unit 9 Philadelphia PA 19146-1542 | |
| (215) 545-0320 | |
| (215) 545-0260 |
| Full Name | Grow Thru Play, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1638 South St Unit 9, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tara Martello (OWNER/OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 2155450320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Thru Play, Llc 860 N Bambrey St Philadelphia PA 19130-1825 Ph: (215) 545-0320 | Grow Thru Play, Llc 1638 South St Unit 9 Philadelphia PA 19146-1542 Ph: (215) 545-0320 |
| NPI Number | 1093051666 |
|---|---|
| Provider Enumeration Date | 12/29/2012 |
| Last Update Date | 12/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093051666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OC008357 (Pennsylvania) | Primary |
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