Organization
KIDDO-LAND THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNAMYS MIRALLES (OFFICE ADMINISTRATOR)
(813) 981-0006
Entity
Organization
Contact information
Practice address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 981-0006
Mailing address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/26/2023
Last updated
01/22/2024
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