Healthcare Provider Details

I. General information

NPI: 1346090560
Provider Name (Legal Business Name): KIDS N FUN THERAPY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LYMAN ST STE 103B
WESTBOROUGH MA
01581-5403
US

IV. Provider business mailing address

781 GRAFTON ST
SHREWSBURY MA
01545-4705
US

V. Phone/Fax

Practice location:
  • Phone: 774-393-1849
  • Fax: 949-703-7750
Mailing address:
  • Phone: 508-898-2688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: NALINI SRIPALL
Title or Position: FOUNDER
Credential: OT
Phone: 774-393-1849