Organization
KIDS RELATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA SEPE M.S./CCC-SLP (DIRECTOR)
(267) 978-0571
Entity
Organization
Contact information
Practice address
1018 1/2 HAMILTON ST, PHILADELPHIA, PA 19123-3727
(267) 978-0571
Mailing address
1018 1/2 HAMILTON ST, PHILADELPHIA, PA 19123-3727
(267) 978-0571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
SL007158
PA
Other
Enumeration date
10/19/2011
Last updated
05/07/2012
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