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Organization
SENSATIONAL KIDS, LLC
Active
Organization
SENSATIONAL KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH W WHEELER OTR/L (OWNER)
(618) 833-4300
Entity
Organization
Contact information
Practice address
130 LICK CREEK RD, ANNA, IL 62906-3270
(618) 833-4300
(618) 833-4336
Mailing address
130 LICK CREEK RD, ANNA, IL 62906-3270
(618) 833-4300
(618) 833-4336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2828016
BLUE CROSS/BLUE SHIELD
IL
05
—
403962444001
—
IL
01
—
738815
HEALTHLINK
IL
Enumeration date
09/02/2006
Last updated
08/22/2020
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