Organization
SEEK CHILDLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA PRETE MA, CCLS (CHILD LIFE SPECIALIST)
(941) 284-4734
Entity
Organization
Contact information
Practice address
7323 BLACK WALNUT WAY, LAKEWOOD RANCH, FL 34202-6401
(941) 284-4734
Mailing address
7323 BLACK WALNUT WAY, LAKEWOOD RANCH, FL 34202-6401
(941) 284-4734
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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