Organization
SUPER COOL KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU KREJCI (OWNER)
(623) 262-1199
Entity
Organization
Contact information
Practice address
14175 W INDIAN SCHOOL RD, SUITE B4-521, GOODYEAR, AZ 85395-8407
(623) 262-1199
Mailing address
14175 W INDIAN SCHOOL RD, SUITE B4-521, GOODYEAR, AZ 85395-8407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2008
Last updated
09/14/2008
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