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Organization
PPEC GRADUATES THERAPY INC
Active
Organization
PPEC GRADUATES THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES KIDD DPT (OWNER)
(305) 439-0263
Entity
Organization
Contact information
Practice address
4475 SW 8TH ST, CORAL GABLES, FL 33134-2562
(305) 439-0263
(786) 288-3617
Mailing address
6365 COLLINS AVE APT 4406, MIAMI BEACH, FL 33141-9622
(305) 439-0263
(786) 288-3617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002500900
—
FL
Enumeration date
09/17/2020
Last updated
09/17/2020
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