Organization Name: | KID POWER THERAPY SERVICES, INC |
NPI Number: | 1316188139 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA FOX (VICE PRESIDENT) |
Mailing Address: | 5989 Meijer Dr Ste 4 Milford |
State: | OH US |
Postal Code: | 451501544 |
Phone Number: | 5235755431 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2009 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-8033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |