Organization
BEACHSIDE PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MILLS MS, OTR/L (OWNER/PRESIDENT)
(321) 890-7720
Entity
Organization
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 890-7720
(321) 821-0477
Mailing address
PO BOX 372084, SATELLITE BEACH, FL 32937-0084
(321) 890-7720
(321) 821-0477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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