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Organization

OT-KIDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTI NGUYEN (OWNER/EXECUTIVE DIRECTOR)
(203) 530-2108
Entity
Organization

Contact information

Practice address
1200 HIGH RIDGE RD # B10, STAMFORD, CT 06905-1223
(203) 530-2108
Mailing address
1200 HIGH RIDGE RD # B10, STAMFORD, CT 06905-1223
(203) 530-2108

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
01/29/2022
Last updated
01/29/2022
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