Organization
SUNSHINE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MCKINNEY OT PT (OWNER)
(904) 669-4285
Entity
Organization
Contact information
Practice address
601 S TREE GARDEN DR, ST AUGUSTINE, FL 32086-5234
(904) 669-4285
(904) 797-6064
Mailing address
601 S TREE GARDEN DR, ST AUGUSTINE, FL 32086-5234
(904) 669-4285
(904) 797-6064
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT 20437
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT 9943
FL
Other
Enumeration date
11/24/2013
Last updated
11/24/2013
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