| Organization Name: | KIDVENTURES OCCUPATIONAL THERAPY, PC |
| NPI Number: | 1679802979 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA R BALMER (OCCUPATIONAL THERAPIST/OWNER) |
| Mailing Address: | 5524 Bee Cave Rd Bldg. L West Lake Hills |
| State: | TX US |
| Postal Code: | 787465245 |
| Phone Number: | 5123274499 |
| Fax Number: | 5123274495 |
| NPI Enumeration Date: | 12/15/2009 |
| NPI Last Update Date: | 01/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |