Provider Demographics
NPI:1144488222
Name:DALLAS OCCUPATIONAL THERAPY SERVICES FOR KIDS, PLLC
Entity type:Organization
Organization Name:DALLAS OCCUPATIONAL THERAPY SERVICES FOR KIDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/THERAPIST IN CHARGE
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SABA
Authorized Official - Last Name:ORNELAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:214-646-1449
Mailing Address - Street 1:13720 MIDWAY RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4313
Mailing Address - Country:US
Mailing Address - Phone:214-646-1449
Mailing Address - Fax:214-699-8962
Practice Address - Street 1:13720 MIDWAY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4313
Practice Address - Country:US
Practice Address - Phone:214-646-1449
Practice Address - Fax:214-516-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty