Organization
FUN 2 BE ME DEVELOPMENTAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA L BLAKE OTRL (OWNER)
(440) 567-5220
Entity
Organization
Contact information
Practice address
3355 MEDINA RD, MEDINA, OH 44256-9631
(440) 567-5220
Mailing address
3355 MEDINA RD, MEDINA, OH 44256-9631
(440) 567-5220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT.002088
OH
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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