Organization
WONDER KIDS
Active
Organization
WONDER KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH SCHRADER (OTR/L)
(914) 421-8270
Entity
Organization
Contact information
Practice address
21 MERCEDES LN, STAMFORD, CT 06905-2605
(203) 569-6697
Mailing address
21 MERCEDES LN, STAMFORD, CT 06905-2605
(203) 569-6697
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
013791-1
NY
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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