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Organization
PHYSICAL THERAPY FOR KIDS, LLC
Active
Organization
PHYSICAL THERAPY FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON SKIDMORE P.T., D.P.T. (OWNER)
(907) 346-4096
Entity
Organization
Contact information
Practice address
1109 N FOREST EDGE DR, SISTERS, OR 97759-2692
(907) 346-4096
(877) 319-7365
Mailing address
PO BOX 1475, SISTERS, OR 97759-1475
(907) 346-4096
(907) 346-4097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
783
AK
2251P0200X
Pediatric Physical Therapist
783
AK
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/08/2009
Last updated
06/22/2021
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