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EXCEPTIONAL KIDZ REHABILITATION, LLC

Company Details

Name: EXCEPTIONAL KIDZ REHABILITATION, LLC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Feb 2014 (11 years ago)
Entity Number: 4527662
ZIP code: 19116
County: Jefferson
Place of Formation: New Jersey
Address: 14500 BUSTLETON AVENUE, STE 1-A, PHILADELPHIA, PA, United States, 19116

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 14500 BUSTLETON AVENUE, STE 1-A, PHILADELPHIA, PA, United States, 19116

National Provider Identifier

NPI Number:
1801219092

Authorized Person:

Name:
MONICA LASALLE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140211000720 2014-02-11 APPLICATION OF AUTHORITY 2014-02-11

Date of last update: 26 Mar 2025

Sources: New York Secretary of State