| NPI | 1063846699 |
|---|---|
| Doing Business As | JUST KIDS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LESLEY HENTHORN Credentialing 052-373-7704 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2025-08-05 |