Organization
KIDS ABILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E. SARGENT P.T. (PRESIDENT)
(651) 451-3016
Entity
Organization
Contact information
Practice address
490 HIGHWAY 96 W, SUITE 300, SHOREVIEW, MN 55126-1960
(651) 451-3016
Mailing address
490 HIGHWAY 96 W, SUITE 300, SHOREVIEW, MN 55126-1960
(651) 451-3016
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275420700
—
MN
Enumeration date
03/15/2007
Last updated
06/17/2008
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