Organization
THE KID SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY CLOSE MS, OTR/L (CO-OWNER AND OT)
(270) 465-7768
Entity
Organization
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
Mailing address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005957
KY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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