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Organization
SENSATIONAL KIDS THERAPY, PLLC
Active
Organization
SENSATIONAL KIDS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AUGUST (CO-OWNER)
(904) 374-1414
Entity
Organization
Contact information
Practice address
150 KENT RD., 2B, SAINT AUGUSTINE, FL 32086
(904) 374-1414
Mailing address
4829 INNISBROOK COURT S., ELKTON, FL 32033-2061
(904) 374-1414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
225X00000X
Occupational Therapist
—
FL
235Z00000X
Speech-Language Pathologist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000781600
—
FL
01
—
Y90MV
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
09/13/2012
Last updated
09/13/2012
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