Provider Demographics
NPI:1265864805
Name:ALL KIDS THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:ALL KIDS THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:813-245-3098
Mailing Address - Street 1:3407 CLOVER BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7994
Mailing Address - Country:US
Mailing Address - Phone:813-245-3098
Mailing Address - Fax:813-926-5607
Practice Address - Street 1:3407 CLOVER BLOSSOM CIR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7994
Practice Address - Country:US
Practice Address - Phone:813-245-3098
Practice Address - Fax:813-926-5607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8721251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1851301063Medicaid