Kidpro Therapies, Inc

LBN: Kidpro Therapies, Inc
Kidpro Therapies, Inc is an health care organization with primary practice located at 10702 Sw Elsinore Dr , Port Saint Lucie FL 34987-2149. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Kidpro Therapies, Inc can be contacted via phone (772) 260-9499, or through Wild, Jennifer L via phone (772) 260-9499.

Contact Information

Primary practice address
10702 Sw Elsinore Dr Port Saint Lucie FL 34987-2149
Phone: (772) 260-9499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wild, Jennifer L Registered Occupational Therapist (OTR)
Phone: (772) 260-9499

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1467574723
LBN Legal business name Kidpro Therapies, Inc
DBA Doing business as
Authorized official Wild, Jennifer L Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2007
Last updated Jul 18th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467574723 NPPES
Florida MEDICAID 830086100

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