Organization
BOLD CHILD CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATE DEVALERIO PT, DPT, PCS (CO-OWNER, PHYSICAL THERAPIST)
(904) 210-0332
Entity
Organization
Contact information
Practice address
14444 BEACH BLVD STE 28, JACKSONVILLE, FL 32250-2080
(904) 210-0332
Mailing address
12951 THE WOODS DR S, JACKSONVILLE, FL 32246-1165
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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