Provider Demographics
NPI:1316147598
Name:KIDSENSATIONS
Entity type:Organization
Organization Name:KIDSENSATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GAHARAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:512-441-2541
Mailing Address - Street 1:909 REDD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1033
Mailing Address - Country:US
Mailing Address - Phone:512-441-2541
Mailing Address - Fax:512-233-4001
Practice Address - Street 1:3109 W SLAUGHTER LN STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5712
Practice Address - Country:US
Practice Address - Phone:512-233-4000
Practice Address - Fax:512-233-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107696225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty