Provider Demographics
NPI:1538991724
Name:TOTAL KIDS THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:TOTAL KIDS THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURR
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:704-984-3118
Mailing Address - Street 1:22592 OAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-7640
Mailing Address - Country:US
Mailing Address - Phone:704-984-3118
Mailing Address - Fax:
Practice Address - Street 1:22592 OAKWOOD RD
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-7640
Practice Address - Country:US
Practice Address - Phone:704-984-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty