Whalio Doctors

NPI 1154450096

Kid Pro Therapy - Boas Center

Organisation Local Education Agency (LEA) Tampa, FL

Practice location

Address
16546 N Dale Mabry Hwy, Tampa, FL 33618-1325
Phone
(813) 964-8481
Fax
(813) 964-8431

Authorised official

Name
Lorrainne Jones
Title
Director
Phone
(813) 964-8481

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X Licence SA7752 (FL)

Registry record

NPI
1154450096
Entity type
Organization
NPI issued
5 Mar 2007
Record last updated
12 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.