Organization
FUNCTIONAL PLAYGROUND THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIA HOUSER OT (OWNER)
(505) 263-0583
Entity
Organization
Contact information
Practice address
9577 OSUNA RD NE STE B, ALBUQUERQUE, NM 87111-2286
(505) 263-0583
(505) 317-2532
Mailing address
8205 PORTALES ST NE, ALBUQUERQUE, NM 87109-4955
(505) 263-0583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/22/2021
Last updated
11/22/2022
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