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General NPI Number Information
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NPI Number | 1801604061
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Entity Type | Organization
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Legal Business Name | KIDSWAY THERAPY SERVICES LLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2904 S JOG RD
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City | GREENACRES
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State | FL
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Zip | 33467-2002
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Country | US
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Telephone | 561-889-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 S JOG RD
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City | GREENACRES
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State | FL
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Zip | 33467-2002
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Country | US
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Telephone | 561-517-8227
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Fax | 561-491-2272
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Authorized Official
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Title or Position | GENERAL COORDINATOR
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Name | BEATRIZ E RODRIGUEZ
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Credential |
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Telephone | 561-889-9126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 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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