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General NPI Number Information
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NPI Number | 1427843689
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Entity Type | Organization
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Legal Business Name | THERAPY PLACE, P.C.
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1932 14TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-4605
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Country | US
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Telephone | 562-833-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 13522 FELSON ST
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City | CERRITOS
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State | CA
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Zip | 90703-8913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SOYOUNG BAE
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Credential | OTD, OTR/L
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Telephone | 562-833-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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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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