Organization
THERAPY 4 KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA WILSON (CFO)
(636) 866-1341
Entity
Organization
Contact information
Practice address
1468 NORWOOD DR, SAINT CHARLES, MO 63303-3318
(636) 866-1341
Mailing address
7055 MEXICO RD UNIT 1601, SAINT PETERS, MO 63376-2344
(636) 866-1341
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509491007
—
MO
Enumeration date
01/21/2011
Last updated
04/14/2014
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