Organization
PLAY TO LEARN THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORIN N HEAGAN MOT, OTR/L (PRESIDENT/OWNER)
(786) 553-1720
Entity
Organization
Contact information
Practice address
10841 SW 128TH ST, MIAMI, FL 33176-5442
(786) 553-1720
Mailing address
PO BOX 160591, MIAMI, FL 33116-0591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT15216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005523400
—
FL
Enumeration date
07/25/2016
Last updated
07/25/2016
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