PEDIATRIC THERAPLAY INC
Restorative Service Providers at Ira E Woods Ave, Grapevine, TX

License number
Texas 111332
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: JENNIFER LYNNE SPENCER OTR
Title: OCCUPATIONAL THERAPIST
Phone: (817) 676-1793
Address
Address 2
2401 E Ira E Woods Ave SUITE 300, Grapevine, TX 76051
8308 Regency Dr, Fort Worth, TX 76180
National Provider ID: 1881750461
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC THERAPLAY, INC

8308 Regency Dr, North Richland Hills, TX 76182

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Pediatric Theraplay, Inc
Registration:
Dec 5, 2005
State ID:
0800579422
Business type:
Domestic For-Profit Corporation
DIRECTOR, Director, President:
Jennifer Spencer DIRECTOR, Director, President, inactive, 8308 Regency Dr, North Richland Hills, TX 76180
Agent:
Jennifer L. Spencer,2401 Ira E Wood Ave SUITE 300, Grapevine, TX 76051 (Physical)
TIN:
32018676620

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