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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

NPI # 1083097745
LBN Legal business name SHORE KIDS PEDIATRIC THERAPIES, LLC
Authorized official TRACY GARGUILO - (OCCUPATIONAL THERAPIST/CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Identifiers
NJ License # 46TR00397400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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