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Organization
PLAY WORKS THERAPIES, P.A.
Active
Organization
PLAY WORKS THERAPIES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MALISZEWSKI MA CCC/SLP (PRESIDENT)
(904) 288-8910
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD, SUITE 507, JACKSONVILLE, FL 32223-8628
(904) 288-8910
(904) 288-8912
Mailing address
12276 SAN JOSE BLVD, SUITE 507, JACKSONVILLE, FL 32223-8628
(904) 288-8910
(904) 288-8912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811661000
—
FL
05
—
886965100
—
FL
Enumeration date
06/01/2006
Last updated
10/05/2015
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