Organization
JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARQUIE R PRICE OTD (OWNER/OCCUPATIONAL THERAPIST)
(815) 823-7208
Entity
Organization
Contact information
Practice address
4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
(815) 823-7208
Mailing address
4214 CHESAPEAKE DR APT 2D, AURORA, IL 60504-5134
(815) 823-7208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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