# JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457067910
- **Authorized official:** DR. MARQUIE R PRICE OTD (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (815) 823-7208

## Contact information

- **Practice address:** 4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
- **Practice address phone:** (815) 823-7208
- **Mailing address:** 4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
- **Mailing address phone:** (815) 823-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 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