Organization
KIDS IN BALANCE, INC.
Active
Organization
KIDS IN BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER A LEIGH M.S. CCC-SLP (DIR./SPEECH LANGUAGE PATHOLOGIST)
(813) 677-8450
Entity
Organization
Contact information
Practice address
10022 WATER WORKS LN, RIVERVIEW, FL 33578-5301
(813) 677-8450
(813) 677-5029
Mailing address
4507 COMPASS OAKS DR, VALRICO, FL 33596-7390
(813) 677-8450
(813) 677-5029
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
CH21861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 3546
OCCUPATIONAL THERAPIST
FL
01
—
PT 23360
PHYSICAL THERAPY
FL
01
—
SA 5793
SPEECH-LANGUAGE PATHOLOGI
FL
Enumeration date
08/08/2007
Last updated
08/08/2007
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