Organization
KIDS PLACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA LUGO (ADMINISTRATOR)
(407) 848-9920
Entity
Organization
Contact information
Practice address
7910 US HIGHWAY 98 N, LAKELAND, FL 33809-4819
(407) 455-1739
(863) 340-1364
Mailing address
7910 US HIGHWAY 98 N, LAKELAND, FL 33809-4819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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