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Organization

CHILDREN'S THERAPLAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA GEMA FELDMAN OTR/L (MANAGING MEMBER)
(561) 716-4657
Entity
Organization

Contact information

Practice address
3553 NW 25TH WAY, BOCA RATON, FL 33434-3415
(561) 716-4657
Mailing address
3553 NW 25TH WAY, BOCA RATON, FL 33434-3415
(561) 716-4657

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7485
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
892331100
FL
Enumeration date
05/16/2011
Last updated
05/16/2011
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