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Organization
JUST 4 KIDZ THERAPY, LLC
Active
Organization
JUST 4 KIDZ THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHADDRICK D POLK (C.F.O)
(972) 283-3100
Entity
Organization
Contact information
Practice address
291 S PRESTON RD STE 830, PROSPER, TX 75078-1907
(972) 347-9454
(972) 499-2527
Mailing address
291 S PRESTON RD STE 830, PROSPER, TX 75078-1907
(972) 347-9454
(972) 499-2527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110553
TX
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178849901
—
TX
05
—
181975501
—
TX
05
—
182122501
—
TX
Enumeration date
06/27/2008
Last updated
01/27/2025
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