Provider Demographics
NPI:1629548367
Name:K DANIELE THERAPY
Entity Type:Organization
Organization Name:K DANIELE THERAPY
Other - Org Name:TOTALLY KIDS PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-962-1919
Mailing Address - Street 1:14541 VISTA VERDI RD
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6931
Mailing Address - Country:US
Mailing Address - Phone:305-962-1919
Mailing Address - Fax:
Practice Address - Street 1:14541 VISTA VERDI RD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-6931
Practice Address - Country:US
Practice Address - Phone:305-962-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health