# KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC

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

## Provider details

- **NPI number:** 1366288672
- **Authorized official:** KATHERINE WELCH (RCM OPERATIONS MANAGER)
- **Authorized official phone:** (254) 362-2500

## Contact information

- **Practice address:** 7430 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2130
- **Practice address phone:** (954) 925-3844
- **Mailing address:** 5901 SW 74TH ST STE 414, MIAMI, FL 33143-5164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/05/2024