Kingdom Pediatric Therapy
NPI #1104281906 in Woodland Park, Colorado
Provider Information
- NPI Number
- 1104281906
- Entity Type
- Organization
- Organization Name
- Kingdom Pediatric Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 21, 2015
- Last Updated
- Dec 21, 2015
Practice Location
- Address
- 1067 E US HWY
- Address 2
- PMB 72
- City
- Woodland Park
- State
- Colorado
- ZIP Code
- 80863
- Phone
- (970) 214-8113
Authorized Official
- Name
- JESSICA GUIDA, MA,CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (970) 214-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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