| Organization Name: | KIDS THERAPY COMPANY |
| NPI Number: | 1255635686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA HERRHOLZ (OWNER) |
| Mailing Address: | 1 Bayside Rd Ste 2 Greenland |
| State: | NH US |
| Postal Code: | 038402117 |
| Phone Number: | 6033730014 |
| Fax Number: | 6034336787 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 0857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |