Organization
DYNAMIC KIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA LEVY OTR (OWNER/DIRECTOR)
(914) 428-5151
Entity
Organization
Contact information
Practice address
297 KNOLLWOOD RD, WHITE PLAINS, NY 10607-1833
(914) 428-5151
(914) 428-7660
Mailing address
297 KNOLLWOOD RD, WHITE PLAINS, NY 10607-1833
(914) 428-5151
(914) 428-7660
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/15/2009
Last updated
06/12/2012
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