Organization
KID SMART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVETTE MARIA DUBOY GONZALEZ OTR/L (MANAGING DIRECTOR)
(786) 316-6276
Entity
Organization
Contact information
Practice address
17786 SW 139TH CT, MIAMI, FL 33177-7741
(786) 316-6276
Mailing address
17786 SW 139TH CT, MIAMI, FL 33177-7741
(786) 316-6276
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/07/2023
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