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General NPI Number Information
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NPI Number | 1831950203
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Entity Type | Organization
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Legal Business Name | PLAYSPACE PEDIATRICS
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 11609 1/2 WASHINGTON PLACE
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City | LOS ANGELES
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State | CA
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Zip | 90066-9006
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Country | US
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Telephone | 310-775-0356
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Fax |
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Provider Business Mailing Address
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Address Line | 12215 LOUISE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066-5821
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Country | US
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Telephone | 310-775-0356
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Fax |
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Authorized Official
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Title or Position | OWNER / DIRECTOR
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Name | NATHALIE ALUISI
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Credential | OTD, OTR/L, SWC
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Telephone | 310-775-0356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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 #5
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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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