Organization
COASTAL KIDS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALI PENDERS DPT (CEO)
(518) 281-0877
Entity
Organization
Contact information
Practice address
849 SUMMER HILL RD, MADISON, CT 06443-1695
(518) 281-0877
Mailing address
849 SUMMER HILL RD, MADISON, CT 06443-1695
(518) 281-0877
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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