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Organization
PREMIUM KIDS THERAPY, INC.
Active
Organization
PREMIUM KIDS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE LOPEZ CCC-SLP (OWNER)
(305) 431-8358
Entity
Organization
Contact information
Practice address
6740 SW 132ND ST, PINECREST, FL 33156-6926
(305) 431-8358
Mailing address
6740 SW 132ND ST, PINECREST, FL 33156-6926
(305) 431-8358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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