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NPI Code Detail

MEDICARE: KIDSWORK, INC

MEDICARE: KIDSWORK, INC
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
1106H00000XMarriage & Family Therapist
2152WV0400XVision Therapy Optometrist
3222Q00000XDevelopmental Therapist
42251P0200XPediatric Physical Therapist
5225X00000XOccupational Therapist
6225XF0002XFeeding, Eating & Swallowing Occupational Therapist
7235Z00000XSpeech-Language Pathologist
8225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1801299615
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDSWORK, INC
Provider Business Mailing Address
First Line : 262 EL GRANADA BLVD
Second Line :
City : HALF MOON BAY
State : CA
Zip : 94019-4853
Country : US
Telephone Number : 814-862-2652
Fax Number :
Provider Business Practice Location Address
First Line : 3401 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5419
Country : US
Telephone Number : 415-695-1400
Fax Number : 415-695-1463
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. KINA L. ALTEMOSE
Credential :
Telephone Number : 814-826-2652
Provider Enumeration Date : 10/07/2014
Last Update Date : 10/07/2014

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Directions to “KIDSWORK, INC ” Practice Location

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