Organization
4INKC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY REDD (OWNER)
(310) 210-2291
Entity
Organization
Contact information
Practice address
145 HUNTCLIFF TRL, ELLENWOOD, GA 30294-2597
(310) 210-2291
Mailing address
145 HUNTCLIFF TRL, ELLENWOOD, GA 30294-2597
(310) 210-2291
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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