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Organization
THERAKIDS PLUS CENTER FOR CHILDREN & ADULTS
Active
Organization
THERAKIDS PLUS CENTER FOR CHILDREN & ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY K BOOTH MS, CCC-SLP (OWNER)
(813) 873-1936
Entity
Organization
Contact information
Practice address
1602 W SLIGH AVE, SUITE 100, TAMPA, FL 33604-5893
(813) 873-1936
(813) 873-8837
Mailing address
1602 W SLIGH AVE, SUITE 100, TAMPA, FL 33604-5893
(813) 873-1936
(813) 873-8837
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA3850
FL
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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