Organization
KIDS THERAPY
Active
Other names
Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA JACKSON (SLPA)
(480) 717-7084
Entity
Organization
Contact information
Practice address
2161 E NEW BEDFORD DR, GILBERT, AZ 85234-3865
(480) 717-7084
Mailing address
2161 E NEW BEDFORD DR, GILBERT, AZ 85234-3865
(480) 717-7084
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
03/25/2022
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