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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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