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Organization
PREMAPLAY LLC
Active
Organization
PREMAPLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA DRAY (OWNER)
(407) 790-5601
Entity
Organization
Contact information
Practice address
800 WESTWOOD SQ. SUITE D, W. HWY 426, OVIEDO, FL 32765
(407) 790-5601
(407) 602-7858
Mailing address
465 S. ORLANDO AVE, #320, MAITLAND, FL 32751
(407) 790-5601
(407) 602-7858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15041
FL
225XP0200X
Pediatric Occupational Therapist
OT15041
FL
251E00000X
Home Health Agency
OT15041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004624400
—
FL
05
—
013653800
—
FL
Enumeration date
04/08/2014
Last updated
11/07/2017
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