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Organization

PREMAPLAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA MCCONNELL COTA/L (INDEPENDENT CONTRACTOR)
(574) 807-5135
Entity
Organization

Contact information

Practice address
541 ONE CENTER BLVD, APT 303, ALTAMONTE SPRINGS, FL 32701-2216
(574) 807-5135
Mailing address
541 ONE CENTER BLVD, APT 303, ALTAMONTE SPRINGS, FL 32701-2216
(574) 807-5135

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15872
FL

Other

Enumeration date
04/14/2017
Last updated
04/14/2017
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