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Organization

KID AT HEART THERAPY, LLC

Active
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Organization

KID AT HEART THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA T CHESSER PT (OWNER)
(616) 510-1267
Entity
Organization

Contact information

Practice address
520 BUTTERNUT DR STE 8, PMB # 224, HOLLAND, MI 49424-1587
(616) 510-1267
Mailing address
520 BUTTERNUT DR STE 8, PMB # 224, HOLLAND, MI 49424-1587
(616) 510-1267

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/13/2009
Last updated
12/29/2009
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