Organization
KID CLAN SERVICES IN
Active
Organization
KID CLAN SERVICES IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINAH LEITER OTR (PRESIDENT)
(973) 365-1444
Entity
Organization
Contact information
Practice address
340 MAIN AVE, CLIFTON, NJ 07014-1328
(973) 365-1444
(973) 365-1446
Mailing address
340 MAIN AVE, CLIFTON, NJ 07014-1328
(973) 365-1444
(973) 365-1446
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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