MEDICARE: KIDS N FUN THERAPY LLP

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	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1346090560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS N FUN THERAPY LLP

Provider Business Mailing Address
First Line	:	781 GRAFTON ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-4705
Country	:	US
Telephone Number	:	508-898-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 LYMAN ST STE 103B
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-5403
Country	:	US
Telephone Number	:	774-393-1849
Fax Number	:	949-703-7750

Authorized Official
Title or Position	:	FOUNDER
Name	:	NALINI SRIPALL
Credential	:	OT
Telephone Number	:	774-393-1849

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	10/24/2024

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