Provider Demographics
NPI:1417540568
Name:KIDS CAN THERAPY INC
Entity Type:Organization
Organization Name:KIDS CAN THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IZHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-317-5577
Mailing Address - Street 1:1373 MILE POST DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4710
Mailing Address - Country:US
Mailing Address - Phone:770-317-5577
Mailing Address - Fax:
Practice Address - Street 1:555 SUN VALLEY DR STE P1
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5633
Practice Address - Country:US
Practice Address - Phone:770-317-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty