Provider Demographics
NPI:1154910537
Name:QUALITY KIDS THERAPY CENTER INC
Entity type:Organization
Organization Name:QUALITY KIDS THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YESSY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUDET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-488-2578
Mailing Address - Street 1:120 NW 117TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4427
Mailing Address - Country:US
Mailing Address - Phone:786-488-2578
Mailing Address - Fax:786-521-4119
Practice Address - Street 1:120 NW 117TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-4427
Practice Address - Country:US
Practice Address - Phone:786-488-2578
Practice Address - Fax:786-521-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy