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General NPI Number Information
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NPI Number | 1598724577
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Entity Type | Organization
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Legal Business Name | K.I.D.S. THERAPY ASSOCIATES, INC., A PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 01/14/2024
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Provider Practice Location Address
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Address Line | 11838 BERNARDO PLAZA CT SUITE 110
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City | SAN DIEGO
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State | CA
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Zip | 92128-2413
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Country | US
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Telephone | 858-673-5437
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Fax | 858-673-5434
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Provider Business Mailing Address
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Address Line | 11838 BERNARDO PLAZA CT SUITE 110
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City | SAN DIEGO
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State | CA
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Zip | 92128-2413
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Country | US
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Telephone | 858-673-5437
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Fax | 858-673-5434
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Authorized Official
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Title or Position | PRESIDENT-PEDIATRICS DIVISION
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Name | TERRA SCOTT
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Credential | MSPT
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Telephone | 303-437-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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