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Organization
THERAPY WONDERLAND LLC
Active
Organization
THERAPY WONDERLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOULE (OCCUPATIONAL THERAPIST)
(305) 335-3263
Entity
Organization
Contact information
Practice address
11628 SW 50TH CT, COOPER CITY, FL 33330-4414
(305) 335-3263
Mailing address
11628 SW 50TH CT, COOPER CITY, FL 33330-4414
(305) 335-3263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/30/2020
Last updated
08/18/2021
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