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Organization

KIM4KIDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KIMBERLY ANN BRADLEY MS, LOTR (OWNER)
(504) 430-2738
Entity
Organization

Contact information

Practice address
4517 LORINO ST, METAIRIE, LA 70006-2323
(504) 430-2738
Mailing address
5220 JASPER ST., METAIRIE, LA 70006
(504) 430-2738

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTTZ12169
LA

Other

Enumeration date
03/17/2016
Last updated
03/09/2017
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