Organization
SENSORY OUTLET, LLC
Active
Organization
SENSORY OUTLET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTEE SAKS MS, OTR/L (OWNER, DIRECTOR)
(732) 730-7850
Entity
Organization
Contact information
Practice address
7 BRIDGEWOOD AVE, LAKEWOOD, NJ 08701
(732) 730-7850
Mailing address
7 BRIDGEWOOD AVE, LAKEWOOD, NJ 08701
(732) 730-7850
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
46TR00700200
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00700200
NJ
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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