Organization
AMAZING KIDZ THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN PICI OTR/L (CEO)
(813) 643-1389
Entity
Organization
Contact information
Practice address
4312 BELL SHOALS RD, VALRICO, FL 33596-7171
(813) 298-9298
Mailing address
687 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-1389
(813) 315-6512
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
OT10626
FL
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/14/2016
Last updated
07/01/2021
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