Organization
PRECIOUS KIDDOS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITHE PIERRE BERNARD (OWNER)
(321) 945-1170
Entity
Organization
Contact information
Practice address
7490 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-4104
(321) 945-1170
(863) 268-2004
Mailing address
427 LADY DIANA DR FL USA, DAVENPORT, FL 33837-7678
(321) 945-1170
(863) 268-2004
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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