Organization · NPI-2

Amazing Kids Therapy, INC

Clinic/Center · St Petersburg, FL

NPI number1609014471
StatusActive
Last updated in NPPESNov 1, 2015

Details

NPI
1609014471
Entity type
Organization (NPI-2)
Legal business name
Amazing Kids Therapy, INC
Organization subpart
No
Enumeration date
Feb 1, 2009
Last updated
Nov 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6061 Bahia Del Mar Blvd
207
St Petersburg, FL 33715-3321

Phone 727-637-6137 · Fax 727-388-9640

Mailing address

6061 Bahia Del Mar Blvd
207
St Petersburg, FL 33715-3321

Phone 727-637-6137 · Fax 727-388-9640

Authorized official

Amanda Marie Kotolski
Owner-President
7276376137

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