Provider Demographics
NPI:1164954970
Name:TRIUMPH KIDS, INC
Entity Type:Organization
Organization Name:TRIUMPH KIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAALE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-906-8674
Mailing Address - Street 1:9840 ALTERNATE A1A
Mailing Address - Street 2:SUITE 402
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4934
Mailing Address - Country:US
Mailing Address - Phone:561-906-8674
Mailing Address - Fax:
Practice Address - Street 1:9840 ALTERNATE A1A
Practice Address - Street 2:SUITE 402
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4934
Practice Address - Country:US
Practice Address - Phone:561-906-8674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty