Provider Demographics
NPI:1205077153
Name:KIDS R US THERAPY
Entity type:Organization
Organization Name:KIDS R US THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:919-606-1019
Mailing Address - Street 1:104 STATE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5116
Mailing Address - Country:US
Mailing Address - Phone:919-553-2661
Mailing Address - Fax:919-553-3769
Practice Address - Street 1:104 STATE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5116
Practice Address - Country:US
Practice Address - Phone:919-553-2661
Practice Address - Fax:919-553-3769
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS R US THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1032235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty