St. Nicholas Children's Therapies LLC

NPI #1285626937 in Roeland Park, Kansas

Provider Information

NPI Number: 1285626937
Entity Type: Organization
Organization Name: St. Nicholas Children's Therapies LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 18, 2005
Last Updated: Dec 30, 2022

Practice Location

Address: 3811 W 52ND ST
City: Roeland Park
State: Kansas
ZIP Code: 66205-1458
Phone: (913) 579-8556

Authorized Official

Name: DEBORAH J HERZOG, OTR/L
Title: OWBER
Phone: (913) 579-8556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist	225X00000X	Primary

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