Organization
KINETIC KIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER GOBER MSOT, OTR/L, C-SIPT (DIRECTOR)
(305) 778-9198
Entity
Organization
Contact information
Practice address
11251 NW 20TH ST, #118, MIAMI, FL 33172-1859
(305) 778-9198
(305) 535-1361
Mailing address
1000 WEST AVE, #1411, MIAMI BEACH, FL 33139-4759
(305) 778-9198
(305) 535-1361
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
14828
FL
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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