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General NPI Number Information
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NPI Number | 1871477869
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Entity Type | Organization
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Legal Business Name | PLAY BY PLAY PEDIATRIC THERAPY
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 204 1ST ST STE 133
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City | SERGEANT BLUFF
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State | IA
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Zip | 51054-8532
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Country | US
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Telephone | 712-202-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 204 1ST ST STE 133
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City | SERGEANT BLUFF
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State | IA
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Zip | 51054-8532
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Country | US
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Telephone | 712-490-8981
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Fax |
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Authorized Official
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Title or Position | OWNER / OCCUPATIONAL THERAPIST
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Name | AMBER STOLTZE
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Credential | OTD, OTR/L
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Telephone | 712-202-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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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