Organization
DRAGONFLY KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY DE LA PENA OTR (OCCUPATIONAL THERAPIST)
(830) 203-0904
Entity
Organization
Contact information
Practice address
24123 BOERNE STAGE RD STE 210, SAN ANTONIO, TX 78255-9406
(830) 203-0904
(830) 272-5807
Mailing address
24123 BOERNE STAGE RD STE 210, SAN ANTONIO, TX 78255-9406
(830) 203-0904
(830) 272-5807
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/02/2025
Last updated
04/13/2026
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