# KATSKILL KIDS PT, SLP, OT, RN, PSYCHOLOGY & LMSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992935324
- **Authorized official:** DR. KIMBERLY ANNE COSTA PT, DPT (DIRECTOR)
- **Authorized official phone:** (845) 985-7080

## Contact information

- **Practice address:** 7922 STATE ROUTE 55, GRAHAMSVILLE, NY 12740-6409
- **Practice address phone:** (845) 985-7080
- **Practice address fax:** (845) 985-7070
- **Mailing address:** 101 KLOTHE DR, GRAHAMSVILLE, NY 12740-5805
- **Mailing address phone:** (845) 985-7080
- **Mailing address fax:** (845) 985-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 014573-1 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 014573-1 | NY | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 07/20/2009