Superkids Pt LLC
Clinic/Center, Physical Therapy in Pittsburgh, PA. Organization (NPI-2).
NPI number1104609130
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1104609130
- Entity type
- Organization (NPI-2)
- Legal business name
- Superkids Pt LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2023
- Certification date
- Aug 11, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
4701 Baptist Rd Ste 212aPittsburgh, PA 15227-1176
Phone 412-334-4790 · Fax 412-365-5614
Mailing address
4701 Baptist Rd Ste 212aPittsburgh, PA 15227-1176
Phone 412-334-4790 · Fax 412-365-5614
Authorized official
Kristin Camille Lodico
Physical Therapist
4123344790
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