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General NPI Number Information
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NPI Number | 1194173575
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Entity Type | Organization
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Legal Business Name | CHILD'S PLAY THERAPY SERVICES, PC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3687 MT DIABLO BLVD STE 100
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City | LAFAYETTE
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State | CA
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Zip | 94549-3777
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Country | US
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Telephone | 925-954-4546
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Fax | 925-415-6046
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Provider Business Mailing Address
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Address Line | 3687 MT DIABLO BLVD STE 100
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City | LAFAYETTE
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State | CA
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Zip | 94549-3717
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Country | US
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Telephone | 925-954-4546
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Fax | 925-415-6046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINA M GALLO
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Credential | MS, OTR/L
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Telephone | 925-954-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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