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Contact Information

PEDIATRIC THERAPY PLAYGROUND
1631 VISTA DE COLINAS DR SE
RIO RANCHO, NM87124-3070
 Phone: 910-484-1711
 Fax: 919-869-1685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PEDIATRIC THERAPY PLAYGROUND

NPI Number 1316391840
LBN Legal business name PEDIATRIC THERAPY PLAYGROUND
Authorized official ROBERTO DIOSDADO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2016
Last updated 04/21/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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