Organization
PEDIATRIC PLAYHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE SWIDEREK OTR/L (PRESIDENT)
(630) 291-0470
Entity
Organization
Contact information
Practice address
5726 N PASEO OTONO, TUCSON, AZ 85750-1252
(630) 291-0470
Mailing address
5726 N PASEO OTONO, TUCSON, AZ 85750-1252
(630) 291-0470
(520) 615-9607
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
3878
AZ
Other
Enumeration date
04/23/2012
Last updated
04/27/2012
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