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General NPI Number Information
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NPI Number | 1619288818
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Entity Type | Organization
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Legal Business Name | PLAYTIME THERAPY INC.
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 515 SW 28TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-4645
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Country | US
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Telephone | 239-810-3689
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Fax |
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Provider Business Mailing Address
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Address Line | 515 SW 28TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-4645
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Country | US
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Telephone | 239-810-3689
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE LEE GORSKI
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Credential |
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Telephone | 239-810-3689
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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 | OT 12027
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License Number State | FL
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