Organization
CHILDRENS THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARCELLA DUPONT MOTR (PRESIDENT)
(954) 709-3513
Entity
Organization
Contact information
Practice address
8901 ORANGE GROVE DR, #C, DAVIE, FL 33324-6957
(954) 709-3513
(954) 474-0701
Mailing address
8901 ORANGE GROVE DR, #C, DAVIE, FL 33324-6957
(954) 709-3513
(954) 474-0701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887557000
—
FL
05
—
887557096
—
FL
Enumeration date
12/11/2006
Last updated
04/13/2011
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