| Organization Name: | KIDS THERAPY CENTER |
| NPI Number: | 1013121854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE CARMEAN FOSS (CO OWNER) |
| Mailing Address: | 18 Newark Pompton Tpke Riverdale |
| State: | NJ US |
| Postal Code: | 07457 |
| Phone Number: | 9736164555 |
| Fax Number: | 9736163430 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |