| 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 |