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Organization
PLAYPATH THERAPY
Active
Organization
PLAYPATH THERAPY
Active
Other names
Larbardo Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE ALAN BARDACH O.T. (PEDIATRIC OCCUPATIONAL THERAPIST)
(805) 481-7529
Entity
Organization
Contact information
Practice address
750 FARROLL RD, UNIT E, GROVER BEACH, CA 93433-2654
(805) 481-7529
(805) 481-7529
Mailing address
750 FARROLL RD, UNIT E, GROVER BEACH, CA 93433-2654
(805) 481-7529
(805) 481-7529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OT4352
CA
Other
Enumeration date
10/13/2008
Last updated
04/07/2010
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