Healthcare Provider Details

I. General information

NPI: 1306878475
Provider Name (Legal Business Name): K & L THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7209 CURRY FORD ROAD SUITE E
ORLANDO FL
32822-5809
US

IV. Provider business mailing address

7209 CURRY FORD ROAD SUITE E
ORLANDO FL
32822-5809
US

V. Phone/Fax

Practice location:
  • Phone: 407-421-7284
  • Fax: 407-382-4210
Mailing address:
  • Phone: 407-421-7284
  • Fax: 407-382-4210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA6509
License Number StateFL

VIII. Authorized Official

Name: KAVITHA NAIDU
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 407-421-7284