NPI | 1861800641 |
---|---|
Doing Business As | KIDDOS CONNECTION PT |
Entity Type | Organization |
Authorized Contact | JONATHAN D NEWBERRY Owner 309-826-3758 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CO 10816) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2021-09-02 |