MEDICARE: KIDSENSATIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	107696	TX

General Provider Information

NPI Number	:	1316147598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDSENSATIONS

Provider Business Mailing Address
First Line	:	909 REDD ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1033
Country	:	US
Telephone Number	:	512-441-2541
Fax Number	:	512-233-4001

Provider Business Practice Location Address
First Line	:	3109 W SLAUGHTER LN STE B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5712
Country	:	US
Telephone Number	:	512-233-4000
Fax Number	:	512-233-4001

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	CHRISTINE MARIE GAHARAN
Credential	:	O.T.R.
Telephone Number	:	512-441-2541

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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Directions to “KIDSENSATIONS ” Practice Location

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