Open Play Therapy | |
2535 Camino Del Rio S Ste 225 San Diego CA 92108-3756 | |
(347) 820-5291 | |
Not Available |
Full Name | Open Play Therapy |
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Speciality | Physical Therapist |
Location | 2535 Camino Del Rio S Ste 225, San Diego, California |
Authorized Official Name and Position | Daniel Levy Heller (OWNER) |
Authorized Official Contact | 3478205291 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Play Therapy 3711 Louisiana St Unit 5 San Diego CA 92104-5918 Ph: (347) 820-5291 | Open Play Therapy 2535 Camino Del Rio S Ste 225 San Diego CA 92108-3756 Ph: (347) 820-5291 |
NPI Number | 1073207288 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Medicare PECOS PAC ID | 1153776273 |
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Medicare Enrollment ID | O20231010002556 |
Identifier | Type | State | Issuer |
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1073207288 | NPI | - | NPPES |
Provider Name | Daniel Levy Heller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962947648 PECOS PAC ID: 8628352333 Enrollment ID: I20170224000496 |
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