Organization Name: | JUST KIDS THERAPY SERVICES, INC. |
NPI Number: | 1043374838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA BEAN (OWNER) |
Mailing Address: | 4011 Woodvalley Dr Aiken |
State: | SC US |
Postal Code: | 298038421 |
Phone Number: | 8036484360 |
Fax Number: | 8036425039 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |