Organization
KIDZONE THERAPY CENTER
Active
Other names
KidZone Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRAE RENEE VIGIL (CO-OWNER)
(720) 232-7135
Entity
Organization
Contact information
Practice address
5335 W. 48TH AVE #500, DENVER, CO 80212
(720) 865-6042
(720) 704-4946
Mailing address
5335 W. 48TH AVE #500, DENVER, CO 80212
(720) 865-6042
(720) 704-4946
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000197723
—
CO
Enumeration date
10/11/2021
Last updated
12/14/2021
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