Organization
LOVE.PLAY.GROW.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANELLA P FORNONI PTA (OWNER)
(786) 271-3795
Entity
Organization
Contact information
Practice address
1520 FLETCHER ST, HOLLYWOOD, FL 33020-6511
(786) 271-3795
Mailing address
1520 FLETCHER ST, HOLLYWOOD, FL 33020-6511
(786) 271-3795
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
01/25/2020
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