Organization
KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC
Active
Organization
KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE BOUCHEREAU (PRESIDENT)
(954) 445-3064
Entity
Organization
Contact information
Practice address
1726 DAVENPORT DR, NEW PORT RICHEY, FL 34655-4228
(727) 493-2393
Mailing address
1726 DAVENPORT DR, NEW PORT RICHEY, FL 34655-4228
(727) 493-2393
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
09/27/2023
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