Organization
KIDZ CONNECT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LEGG (MEMBER)
(740) 961-0201
Entity
Organization
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 357-6634
Mailing address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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