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Organization
CREATIVE WONDERS OT PT SLP PLLC
Active
Organization
CREATIVE WONDERS OT PT SLP PLLC
Active
Other names
wonderkids therapy center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREEN OTR/L (OWNER AND DIRECTOR)
(914) 421-8270
Entity
Organization
Contact information
Practice address
470 MAMARONECK AVE, SUITE 204, WHITE PLAINS, NY 10605-1830
(914) 421-8270
Mailing address
470 MAMARONECK AVE STE 412, WHITE PLAINS, NY 10605-1839
(914) 421-8270
(914) 421-8272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
10/21/2008
Last updated
02/16/2022
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