Kidspace Therapy, LLC
NPI #1184019184 in Longview, Washington
Provider Information
- NPI Number
- 1184019184
- Entity Type
- Organization
- Organization Name
- Kidspace Therapy, LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Apr 6, 2015
- Last Updated
- Jul 15, 2020
Practice Location
- Address
- 2145 TIBBETTS DR STE A
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-4211
- Phone
- (360) 560-1972
Authorized Official
- Name
- LESLIE KAY WOLFF, OTR/L
- Title
- OWNER
- Phone
- (360) 560-1972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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