Organization
KIDS THERAPY 4 SUCCESS
Active
Organization
KIDS THERAPY 4 SUCCESS
Active
Parent organization
LODI CHILDREN'S THERAPY
Other names
Lodi Children's Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LODI CHILDREN'S THERAPY
Authorized official
SHELLEY BANKS OTR/L (OCCUPATIONAL THERPIST/PARTNER)
(209) 327-3309
Entity
Organization
Contact information
Practice address
118 N CHURCH ST, LODI, CA 95240-2103
(209) 443-4244
Mailing address
PO BOX 621, WOODBRIDGE, CA 95258-0621
(209) 327-3309
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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