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NPI 1306641246

NPI 1306641246 : PLAYFUL PROGRESS OCCUPATIONAL THERAPY LLC : WESTWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1306641246
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLAYFUL PROGRESS OCCUPATIONAL THERAPY LLC 
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Dates
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    Enumeration Date     |    02/14/2025
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    Last Update Date     |    02/14/2025
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Provider Practice Location Address
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    Address Line         |    401 4TH AVE 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-2930
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    Country              |    US
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    Telephone            |    315-593-5007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    401 4TH AVE 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-2930
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    Country              |    US
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    Telephone            |    315-592-5007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CLINICAL DIRECTOR
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    Name                 |     SARAH ELIZABETH CZARNECKI 
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    Credential           |    MS, OTR/L
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    Telephone            |    315-593-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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