Basic Information
Provider Information
NPI: 1407169121
EntityType: 2
ReplacementNPI:  
OrganizationName: ANYTHING FOR THE KIDS, P.C.
LastName:  
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Mailing Information
Address1: 11901 TOEPPERWEIN RD
Address2: SUITE 1106
City: LIVE OAK
State: TX
PostalCode: 782333161
CountryCode: US
TelephoneNumber: 2106511900
FaxNumber:  
Practice Location
Address1: 11901 TOEPPERWEIN RD
Address2: SUITE 1106
City: LIVE OAK
State: TX
PostalCode: 782333161
CountryCode: US
TelephoneNumber: 2106511900
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/22/2010
LastUpdateDate: 05/08/2015
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: GORDON
AuthorizedOfficialFirstName: CYNTHIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 2106511900
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X106889TXY193400000X SINGLE SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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