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Organization
TAMPA KIDS THERAPY, LLC
Active
Organization
TAMPA KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN HUMPHREY OTR/L (OCCUPATIONAL THERAPIST)
(386) 316-8400
Entity
Organization
Contact information
Practice address
3401 S MACDILL AVE, TAMPA, FL 33629-8896
(813) 399-0722
Mailing address
3603 W GRANADA ST, TAMPA, FL 33629-6917
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
17239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5151
—
FL
Enumeration date
05/17/2016
Last updated
05/17/2016
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