Organization
CREATIVE WONDERS OT PT SLP PLLC
Active
Other names
wonderkids therapy center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREEN OTR/L (OWNER AND DIRECTOR)
(914) 421-8270
Entity
Organization
Contact information
Practice address
470 MAMARONECK AVE, SUITE 204, WHITE PLAINS, NY 10605-1830
(914) 421-8270
Mailing address
470 MAMARONECK AVE STE 412, WHITE PLAINS, NY 10605-1839
(914) 421-8270
(914) 421-8272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
02/16/2022
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