Organization · NPI-2

Kidpro Therapies, INC

Occupational Therapist · Port Saint Lucie, FL

NPI number1467574723
StatusActive
Last updated in NPPESJul 18, 2022

Details

NPI
1467574723
Entity type
Organization (NPI-2)
Legal business name
Kidpro Therapies, INC
Organization subpart
No
Enumeration date
Apr 5, 2007
Certification date
Jul 18, 2022
Last updated
Jul 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

10702 Sw Elsinore Dr
Port Saint Lucie, FL 34987-2149

Phone 772-260-9499

Mailing address

8651 Sw Cruden Bay Ct
Stuart, FL 34997-4206

Authorized official

Jennifer L Wild
President
7722609499

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