Organization
GREAT KIDS PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LYNN PARKINS (OWNER)
(973) 224-1028
Entity
Organization
Contact information
Practice address
21 PINE ST STE 205, ROCKAWAY, NJ 07866-3130
(973) 586-8396
Mailing address
21 PINE ST STE 205, ROCKAWAY, NJ 07866-3130
(973) 586-8396
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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