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Organization
THERAPY PALACE LLC
Active
Organization
THERAPY PALACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE MORALES FRAGINALS (PRESIDENT)
(786) 616-4689
Entity
Organization
Contact information
Practice address
1325 SE 47TH ST UNIT I-3, CAPE CORAL, FL 33904-9692
(786) 616-4689
Mailing address
1325 SE 47TH ST UNIT I-3, CAPE CORAL, FL 33904-9692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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