Organization
HEART 4 KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS COLEMAN (CFO)
(727) 202-9200
Entity
Organization
Contact information
Practice address
31840 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3713
(727) 202-9200
Mailing address
31840 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3713
(727) 202-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014087700
—
FL
Enumeration date
11/11/2014
Last updated
07/20/2021
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