Organization
PLAY PATCH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ALEXANDRA GONZALEZ OTR/L (MGR)
(954) 701-7500
Entity
Organization
Contact information
Practice address
5234 SW 159TH AVE, MIRAMAR, FL 33027-4993
(954) 701-7500
Mailing address
5234 SW 159TH AVE, MIRAMAR, FL 33027-4993
(954) 701-7500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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