Kidbridge Therapy, LLC
Occupational Therapist, Pediatrics in Richmond Hill, GA. Organization (NPI-2).
NPI number1982133237
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982133237
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidbridge Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT005053 | GA | Yes |
Practice location
2384 Garden Hills LoopRichmond Hill, GA 31324-6091
Phone 912-663-4118
Mailing address
2384 Garden Hills LoopRichmond Hill, GA 31324-6091
Phone 912-663-4118
Authorized official
Crystal Nicole Reynolds
Owner/Occupational Therapist
9126634118
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