Organization
KIDDOS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CABANESS PT (OWNER/DIRECTOR)
(479) 970-8351
Entity
Organization
Contact information
Practice address
7411 ELLIS ST STE 200, FORT SMITH, AR 72916-6106
(479) 242-3414
(479) 242-3415
Mailing address
7411 ELLIS ST STE 200, FORT SMITH, AR 72916-6106
(479) 242-3414
(479) 242-3415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
06/20/2024
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