Organization
FUN HOUSE PEDIATRIC THERAPY SERVICES
Active
Organization
FUN HOUSE PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YADIRA VALDES MOT, OTR/L (OWNER)
(860) 329-2444
Entity
Organization
Contact information
Practice address
138 MAIN ST, TERRYVILLE, CT 06786-6249
(860) 329-2444
Mailing address
1 FRANKIE LN, TERRYVILLE, CT 06786-7022
(860) 329-2444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
03/07/2023
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