| The Play Hut Pllc | |
|
635 W Main St, Lebanon, VA 24266-3809 | |
| (276) 591-9922 | |
| Not Available |
| Full Name | The Play Hut Pllc |
|---|---|
| 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 |
|---|---|---|---|
| 1235736547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Kelsey Cherie Bush |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326661281 PECOS PAC ID: 7113340662 Enrollment ID: I20211005000766 |
| Mailing Address | Practice Location Address |
|---|---|
| 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: Not Enrolled in Medicare Practice Location: 2023 Cross Rds, Lebanon, VA 24266 Phone: 276-971-3274 | |
Kaitlyn Dawn Jenkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 W Main St, Lebanon, VA 24266 Phone: 276-415-9880 | |
Audra Horton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 W Main St, Lebanon, VA 24266 Phone: 276-415-9880 Fax: 276-208-9045 |