Healthcare Provider Details

I. General information

NPI: 1750771887
Provider Name (Legal Business Name): PLAY IT WRITE KIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 SW 87TH ST
MIAMI FL
33173-3930
US

IV. Provider business mailing address

10230 SW 87TH ST
MIAMI FL
33173-3930
US

V. Phone/Fax

Practice location:
  • Phone: 305-632-1466
  • Fax: 305-595-7388
Mailing address:
  • Phone: 305-632-1466
  • Fax: 305-595-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT8982
License Number StateFL

VIII. Authorized Official

Name: MRS. CHRISTINA ELAINE PHINNEY
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 305-632-1466