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Organization
PEDIATRIC THERAPY PLAYHOUSE
Active
Organization
PEDIATRIC THERAPY PLAYHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GINSBURG (OWNER)
(310) 571-5726
Entity
Organization
Contact information
Practice address
10642 SANTA MONICA BLVD, SUITE 101, LOS ANGELES, CA 90025-4525
(310) 571-5726
Mailing address
10642 SANTA MONICA BLVD, SUITE 101, LOS ANGELES, CA 90025-4525
(310) 571-5726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP21339
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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