MEDICARE: SEEK CHILDLIFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225800000X	Recreation Therapist

General Provider Information

NPI Number	:	1538472519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEK CHILDLIFE

Provider Business Mailing Address
First Line	:	7323 BLACK WALNUT WAY
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-6401
Country	:	US
Telephone Number	:	941-284-4734
Fax Number	:

Provider Business Practice Location Address
First Line	:	7323 BLACK WALNUT WAY
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-6401
Country	:	US
Telephone Number	:	941-284-4734
Fax Number	:

Authorized Official
Title or Position	:	CHILD LIFE SPECIALIST
Name	:	TANYA PRETE
Credential	:	MA, CCLS
Telephone Number	:	941-284-4734

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	07/20/2010

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Directions to “SEEK CHILDLIFE ” Practice Location

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