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NPI 1205796810

NPI 1205796810 : WAVES SENSORY PLAY PLLC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1205796810
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    Entity Type          |    Organization 
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    Legal Business Name  |    WAVES SENSORY PLAY PLLC 
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Dates
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    Enumeration Date     |    11/15/2025
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    Last Update Date     |    11/15/2025
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Provider Practice Location Address
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    Address Line         |    425 N OKLAHOMA AVE APT 1416 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73104-1832
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    Country              |    US
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    Telephone            |    787-340-2531
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    Fax                  |    572-213-1115
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Provider Business Mailing Address
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    Address Line         |    425 N OKLAHOMA AVE APT 1416 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73104-1832
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    Country              |    US
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    Telephone            |    787-340-2531
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    Fax                  |    572-213-1115
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARIA  BENITEZ 
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    Credential           |    OTR
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    Telephone            |    787-340-2531
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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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