Wonder Kids

NPI 1053627489 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1053627489
Enumeration Date 08/23/2010
Last Updated 08/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RALPH RALPH
Position OTR/L
Phone (203) 569-6697
Fax
Practice Location
21 MERCEDES LN
STAMFORD CT, 06905-2605, US
Phone (203) 569-6697
Fax
Business Location
21 MERCEDES LN
STAMFORD CT, 06905-2605, US
Phone (203) 569-6697
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 013791-1
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According to our database, Wonder Kids NPI is 1053627489, taxonomy code is 252Y00000X and license number is 013791-1, license state is located at New York. Wonder Kids physically located at 21 Mercedes Ln, Stamford CT, 06905-2605. NPI Number 1033115704 has the healthcare provider type.

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1053627489 NPI number is provided on an as is basis without warranty of any kind. 1053627489 is maintained by the National Plan & Provider Enumeration System. The contents of Wonder Kids are for informational purposes only.