Provider Demographics
NPI:1396291555
Name:KIDDING AROUND THERAPY, INC.
Entity type:Organization
Organization Name:KIDDING AROUND THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAGALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-581-8060
Mailing Address - Street 1:17924 SABAL PALM DR
Mailing Address - Street 2:STE. 3
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-0977
Mailing Address - Country:US
Mailing Address - Phone:956-581-8060
Mailing Address - Fax:956-581-8066
Practice Address - Street 1:17924 SABAL PALM DR
Practice Address - Street 2:STE. 3
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-0977
Practice Address - Country:US
Practice Address - Phone:956-581-8060
Practice Address - Fax:956-581-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation