| NPI | 1174689517 |
|---|---|
| Doing Business As | KIDS IN WATERLAND |
| Entity Type | Organization |
| Authorized Contact | JUDIE AQUINO DUMELOD Owner 478-474-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 00760702B) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-10-12 |