Organization
KIDCLAN SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINAH LEIFER OTR/L (PRESIDENT)
(973) 356-1444
Entity
Organization
Contact information
Practice address
340 MAIN AVE, CLIFTON, NJ 07014
(973) 365-1444
(973) 365-1446
Mailing address
340 MAIN AVE, CLIFTON, NJ 07014
(973) 365-1444
(973) 365-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
TR002487
NJ
Other
Enumeration date
05/19/2008
Last updated
04/30/2021
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