Organization
KINGDOM PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GUIDA MA,CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(970) 214-8113
Entity
Organization
Contact information
Practice address
1067 E US HWY, PMB 72, WOODLAND PARK, CO 80863
(970) 214-8113
Mailing address
1067 E US HIGHWAY 24, PMB 72, WOODLAND PARK, CO 80863-2120
(970) 214-8113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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