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Organization

KIDSWORK, INC

Active
Other names
Kidspace
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KINA L. ALTEMOSE (CHIEF FINANCIAL OFFICER)
(814) 826-2652
Entity
Organization

Contact information

Practice address
3401 MISSION ST, SAN FRANCISCO, CA 94110-5419
(415) 695-1400
(415) 695-1463
Mailing address
262 EL GRANADA BLVD, HALF MOON BAY, CA 94019-4853
(814) 862-2652

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
152WV0400X
Vision Therapy Optometrist
222Q00000X
Developmental Therapist
2251P0200X
Pediatric Physical Therapist
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/07/2014
Last updated
10/07/2014
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