# KIDS CHOICE LLC

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

## Provider details

- **NPI number:** 1568798544
- **Authorized official:** MRS. DEANDRA L. DEMES (MEMBER)
- **Authorized official phone:** (330) 550-3003

## Contact information

- **Practice address:** 8561 MARKET ST, BOARDMAN, OH 44512-6727
- **Practice address phone:** (330) 953-2383
- **Practice address fax:** (330) 953-2384
- **Mailing address:** 2890 SE RIVER RD, BERLIN CENTER, OH 44401-9779
- **Mailing address phone:** (330) 550-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | SP9491 | OH | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 11/07/2023