| Organization Name: | KIDS@HOME THERAPY SERVICES |
| NPI Number: | 1003114109 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ELLEN VALENTINO (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 701 27th St Ne Canton |
| State: | OH US |
| Postal Code: | 447141703 |
| Phone Number: | 3307059334 |
| Fax Number: | 3304569941 |
| NPI Enumeration Date: | 03/14/2011 |
| NPI Last Update Date: | 03/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 5140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |