Organization
GROWING KIDS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA FERNANDEZ (OWNER)
(786) 483-7051
Entity
Organization
Contact information
Practice address
14160 PALMETTO FRNTG RD STE 115, MIAMI LAKES, FL 33016-1641
(786) 483-7051
Mailing address
14160 PALMETTO FRNTG RD STE 115, MIAMI LAKES, FL 33016-1641
(786) 483-7051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/09/2023
Last updated
04/21/2025
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