Organization
GREEN APPLE KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE KNAPP JACKSON SLPA (OWNER)
(602) 309-8821
Entity
Organization
Contact information
Practice address
23634 N 58TH AVE, GLENDALE, AZ 85310-3647
(602) 309-8821
Mailing address
23634 N 58TH AVE, GLENDALE, AZ 85310-3647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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