Organization
SUPPORTIVE PLAY FLOORTIME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF TOLEDANO (MANAGING MEMBER)
(917) 831-9691
Entity
Organization
Contact information
Practice address
667 RODRIGUES LN, JACKSON, NJ 08527-4818
(917) 831-9691
Mailing address
667 RODRIGUES LN, JACKSON, NJ 08527-4818
(917) 831-9691
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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