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NPI Code Detail

MEDICARE: KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC

MEDICARE: KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC
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
1222Q00000XDevelopmental Therapist
22251P0200XPediatric Physical TherapistFL
3225XP0200XPediatric Occupational TherapistOT10949FL
4251C00000XDevelopmentally Disabled Services Day Training Agency
5261QM1300XMulti-Specialty Clinic/Center
6332B00000XDurable Medical Equipment & Medical Supplies
7261Q00000XClinic/Center

General Provider Information

NPI Number : 1154418135
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC
Provider Business Mailing Address
First Line : 1 OAKWOOD BLVD STE 130
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-1937
Country : US
Telephone Number : 954-925-3844
Fax Number : 954-925-3845
Provider Business Practice Location Address
First Line : 1 OAKWOOD BLVD STE 130
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-1937
Country : US
Telephone Number : 954-925-3844
Fax Number : 954-925-3845
Authorized Official
Title or Position : PRESIDENT
Name : ANNIE FISCHER
Credential : MPT
Telephone Number : 954-445-3064
Provider Enumeration Date : 10/09/2006
Last Update Date : 08/23/2023

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Directions to “KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC ” Practice Location

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