Country Kids Inc.

NPI #1497851265 in De Pere, Wisconsin

Provider Information

NPI Number: 1497851265
Entity Type: Organization
Organization Name: Country Kids Inc.
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Sep 16, 2006
Last Updated: Aug 28, 2008

Practice Location

Address: 1142 ORLANDO DR
City: De Pere
State: Wisconsin
ZIP Code: 54115-9484
Phone: (920) 339-0700

Authorized Official

Name: MS. LISA KAFKA, OTR
Title: EXECUTIVE DIRECTOR
Phone: (920) 339-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapy Assistant	224Z00000X
Physical Therapist	225100000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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