Organization
THE PEACH PIT LLC
Active
Organization
THE PEACH PIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTINE FRADILLADA (MANAGER)
(561) 809-5461
Entity
Organization
Contact information
Practice address
2904 S JOG RD, GREENACRES, FL 33467-2002
(561) 517-8227
(561) 491-2272
Mailing address
9861 ROBINS NEST RD, BOCA RATON, FL 33496-2144
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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