Organization
K.I.D.S. THERAPY ASSOCIATES, INC., A PHYSICAL THERAPY CORPORATION
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA SCOTT MSPT (PRESIDENT-PEDIATRICS DIVISION)
(303) 437-4364
Entity
Organization
Contact information
Practice address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
(858) 673-5434
Mailing address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
(858) 673-5434
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ09412Z
BLUE SHIELD SPEECH PIN #
CA
01
—
ZZZ09413Z
BLUE SHIELD OT PIN #
CA
01
—
ZZZ09414Z
BLUE SHIELD PT PIN #
CA
Enumeration date
03/20/2006
Last updated
01/14/2024
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