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Organization
PLAYHOUSE THERAPY PA
Active
Organization
PLAYHOUSE THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KOGAN SLP (FOUNDER)
(917) 514-9259
Entity
Organization
Contact information
Practice address
118 LOWELL RD, GLEN ROCK, NJ 07452-1232
(917) 514-9259
Mailing address
118 LOWELL RD, GLEN ROCK, NJ 07452-1232
(917) 514-9259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00770500
NJ
Other
Enumeration date
06/01/2015
Last updated
06/02/2015
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