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Organization

KIDABILITY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN M POULSEN PT (PRESIDENT)
(404) 579-1699
Entity
Organization

Contact information

Practice address
2854 MITCHELL PL, DECATUR, GA 30032-4258
(404) 579-1699
(404) 759-2166
Mailing address
2854 MITCHELL PL, DECATUR, GA 30032-4258
(404) 579-1699
(404) 759-2166

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
12/12/2016
Last updated
04/05/2018
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