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Organization
MEC DISABILITIES
Active
Organization
MEC DISABILITIES
Active
Other names
The Sensory Space
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MARIE SANGER (CEO)
(541) 787-1200
Entity
Organization
Contact information
Practice address
580 SW 6TH ST STE C, GRANTS PASS, OR 97526-3033
(877) 354-7365
Mailing address
PO BOX 463, GRANTS PASS, OR 97528-0039
(541) 787-1200
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
221700000X
Art Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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