Provider Demographics
NPI:1447017074
Name:SENSATIONAL DEVELOPMENT OT, PLLC
Entity type:Organization
Organization Name:SENSATIONAL DEVELOPMENT OT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-799-2900
Mailing Address - Street 1:669 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2314
Mailing Address - Country:US
Mailing Address - Phone:516-799-2900
Mailing Address - Fax:516-799-2928
Practice Address - Street 1:669 BROADWAY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2314
Practice Address - Country:US
Practice Address - Phone:516-799-2900
Practice Address - Fax:516-799-2928
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENSATIONAL DEVELOPMENT OCCUPATION THERAPY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty