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Organization
O. T. 4 KIDS, INC
Active
Organization
O. T. 4 KIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA VANQUELEF (OWNER)
(352) 795-5552
Entity
Organization
Contact information
Practice address
335 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-5552
(352) 795-7751
Mailing address
335 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-5552
(352) 795-7751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120773300
—
FL
05
—
120773301
—
FL
05
—
830037200
—
FL
05
—
830037201
—
FL
Enumeration date
07/09/2006
Last updated
11/14/2024
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