OrganizationActive
Pediatric Therapy Group
NPI 1306132964 · Supports Brokerage Agency · Bradenton, FL
Provider details
- NPI number
- 1306132964
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Authorized official
- Mary Kester, Staff OT
- License
- T13711 (FL)
Mailing address
4440b 26th St W
Bradenton, FL 34207-1201
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2011-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.