Organization
LEADING KIDS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL KUCHER (PRESIDENT)
(754) 754-2757
Entity
Organization
Contact information
Practice address
1400 S OCEAN DR APT 1608, HOLLYWOOD, FL 33019-2341
(754) 757-2757
Mailing address
1000 PARKVIEW DR APT 731, HALLANDALE BEACH, FL 33009-2987
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117769800
—
FL
Enumeration date
04/10/2023
Last updated
05/04/2023
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