# KIDS THERAPY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255635686
- **Authorized official:** LISA HERRHOLZ OTR/L (OWNER)
- **Authorized official phone:** (603) 373-0014

## Contact information

- **Practice address:** 1 BAYSIDE RD STE 2, GREENLAND, NH 03840-2117
- **Practice address phone:** (603) 373-0014
- **Practice address fax:** (603) 433-6787
- **Mailing address:** 1 BAYSIDE RD STE 2, GREENLAND, NH 03840-2117
- **Mailing address phone:** (603) 373-0014
- **Mailing address fax:** (603) 433-6787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 0857 | NH | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 12/28/2010