Shore Kids Pediatric Therapies, LLC
NPI #1083097745 in Oceanport, New Jersey
Provider Information
- NPI Number
- 1083097745
- Entity Type
- Organization
- Organization Name
- Shore Kids Pediatric Therapies, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 14 BRIDGEWATERS DR
- City
- Oceanport
- State
- New Jersey
- ZIP Code
- 07757
- Phone
- (732) 460-1500
Authorized Official
- Name
- TRACY JILL GARGUILO
- Title
- OCCUPATIONAL THERAPIST/CO-OWNER
- Phone
- (732) 460-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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