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Contact Information

SHORE KIDS PEDIATRIC THERAPIES, LLC
14 BRIDGEWATERS DR
OCEANPORT, NJ07757
 Phone: 732-460-1500
 Fax: 732-460-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SHORE KIDS PEDIATRIC THERAPIES LLC · (Female)

NPI # 1083097745
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 46TR00397400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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