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Organization
CHILDRENS THERAPY WORKS
Active
Organization
CHILDRENS THERAPY WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE BLYTHE OTR/L (BUSINESS OWNER)
(707) 330-6949
Entity
Organization
Contact information
Practice address
2560 N TEXAS ST, SUITE D, FAIRFIELD, CA 94533-1649
(707) 330-6949
Mailing address
2560 N TEXAS ST, SUITE D, FAIRFIELD, CA 94533-1649
(707) 330-6949
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
138
CA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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