Provider Demographics
NPI:1114330388
Name:KIDS CONNECT OCCUPATIONAL THERAPY, L.L.C.
Entity Type:Organization
Organization Name:KIDS CONNECT OCCUPATIONAL THERAPY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:713-522-8880
Mailing Address - Street 1:13907 ALEX LANDING DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4343
Mailing Address - Country:US
Mailing Address - Phone:713-252-8482
Mailing Address - Fax:713-522-8881
Practice Address - Street 1:805 RHODE PL STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-2717
Practice Address - Country:US
Practice Address - Phone:713-522-8880
Practice Address - Fax:713-522-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111331251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services