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Organization
KIDZ VILLAGE THERAPY CLINIC LLC
Active
Organization
KIDZ VILLAGE THERAPY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAILENE N ESPINOSA (OWNER)
(407) 616-4441
Entity
Organization
Contact information
Practice address
19 BROADWAY, KISSIMMEE, FL 34741-5711
(407) 616-4441
Mailing address
19 BROADWAY, KISSIMMEE, FL 34741-5711
(407) 616-4441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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