Provider Demographics
NPI:1194182873
Name:KIDS R US THERAPY, INC.
Entity Type:Organization
Organization Name:KIDS R US THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:786-449-8978
Mailing Address - Street 1:8100 GENEVA CT
Mailing Address - Street 2:APT 346
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4697
Mailing Address - Country:US
Mailing Address - Phone:786-449-8978
Mailing Address - Fax:
Practice Address - Street 1:8100 GENEVA CT
Practice Address - Street 2:APT 346
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4697
Practice Address - Country:US
Practice Address - Phone:786-449-8978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 17141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty