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Organization
KOOL KIDZ INC
Active
Organization
KOOL KIDZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WENTZ (BUSINESS MANAGER)
(770) 517-2480
Entity
Organization
Contact information
Practice address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(770) 517-2480
(770) 592-9431
Mailing address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(770) 517-2480
(770) 592-9431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
GA
2251P0200X
Pediatric Physical Therapist
Primary
—
GA
225X00000X
Occupational Therapist
—
GA
225XP0200X
Pediatric Occupational Therapist
—
GA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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