Organization
KID GOALS PEDIATRIC PHYSICAL THERAPY, INC
Active
Organization
KID GOALS PEDIATRIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BEHNKE PT (OWNER/PHYSICAL THERAPIST)
(760) 428-8646
Entity
Organization
Contact information
Practice address
619 W RIDGECREST BLVD STE B, RIDGECREST, CA 93555-4065
(760) 428-8646
Mailing address
200 PALM AVE, CORONADO, CA 92118-1120
(760) 428-8646
(760) 428-8646
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
08/16/2024
Last updated
08/26/2024
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