Provider Demographics
NPI:1245607035
Name:ALL ABOUT KIDS HOME THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:ALL ABOUT KIDS HOME THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRUN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:813-504-6699
Mailing Address - Street 1:3801 S KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-1523
Mailing Address - Country:US
Mailing Address - Phone:813-504-6699
Mailing Address - Fax:813-253-3113
Practice Address - Street 1:3801 S KENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-1523
Practice Address - Country:US
Practice Address - Phone:813-504-6699
Practice Address - Fax:813-253-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT202302251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty