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Organization
JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC
Active
Organization
JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARQUIE R PRICE OTD (OWNER/OCCUPATIONAL THERAPIST)
(815) 823-7208
Entity
Organization
Contact information
Practice address
4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
(815) 823-7208
Mailing address
4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
(815) 823-7208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NULL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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