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Organization
KIDS CONNECTION THERAPY LLC
Active
Organization
KIDS CONNECTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKA CATHERINE PALCESKI (MANAGING MEMBER)
(407) 252-4651
Entity
Organization
Contact information
Practice address
147 PARSONS RD, LONGWOOD, FL 32779-2748
(407) 721-3486
(407) 641-8633
Mailing address
147 PARSONS RD, LONGWOOD, FL 32779-2748
(407) 721-3486
(407) 641-8633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003964300
—
FL
Enumeration date
08/04/2021
Last updated
09/06/2023
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