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Organization
SENSORY TKD LLC
Active
Organization
SENSORY TKD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KILBURN (COO)
(908) 922-0020
Entity
Organization
Contact information
Practice address
155 S WASHINGTON AVE, FLOOR 2, BERGENFIELD, NJ 07621-2933
(908) 922-0020
Mailing address
155 S WASHINGTON AVE, FLOOR 2, BERGENFIELD, NJ 07621-2933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
111N00000X
Chiropractor
Primary
—
—
133N00000X
Nutritionist
—
—
152W00000X
Optometrist
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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