MEDICARE: CARE FOR KIDS THERAPY

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1083420111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FOR KIDS THERAPY

Provider Business Mailing Address
First Line	:	8629 SW 207TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3836
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8629 SW 207TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3836
Country	:	US
Telephone Number	:	786-853-8992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE MARIE WONG
Credential	:
Telephone Number	:	786-853-8992

Provider Enumeration Date	:	12/04/2024
Last Update Date	:	12/04/2024

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Directions to “CARE FOR KIDS THERAPY ” Practice Location

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