Provider Demographics
NPI:1902087901
Name:KIDSENSE INC
Entity Type:Organization
Organization Name:KIDSENSE INC
Other - Org Name:KIDSENSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRODDIE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:541-386-0009
Mailing Address - Street 1:315 OAK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2062
Mailing Address - Country:US
Mailing Address - Phone:541-386-0009
Mailing Address - Fax:
Practice Address - Street 1:315 OAK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2062
Practice Address - Country:US
Practice Address - Phone:541-386-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00974770225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty