JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC

Early Intervention Provider Agency

Code: 252Y00000X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Clinic/Center — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Code: 261QR0401X

Occupational Therapist

Code: 225X00000X