Organization
ANGEL CARE KIDS THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY COOK O.T. (OWNER/OCCUPATIONAL THERAPIST)
(978) 521-6150
Entity
Organization
Contact information
Practice address
969 MAIN ST, HAVERHILL, MA 01830-2011
(978) 521-6150
(978) 521-2659
Mailing address
969 MAIN ST, HAVERHILL, MA 01830-2011
(978) 521-6150
(978) 521-2659
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8830
MA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G0014
BCBS
MA
01
—
13Y005487MA01
ANTHEM NH
NH
01
—
AA118890
HARVARD PILGRIM
MA
Enumeration date
12/30/2009
Last updated
03/27/2018
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