Organization
SUPERKIDZ PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY B CALDWELL (CEO)
(803) 509-3459
Entity
Organization
Contact information
Practice address
1700 QUAIL LAKE DR, WEST COLUMBIA, SC 29169-3746
(803) 509-3459
Mailing address
PO BOX 2791, COLUMBIA, SC 29202-2791
(803) 509-3459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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