Organization
SENSATIONAL LIFE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HENDRIX M.S. OTR/L (OCCUPATIONAL THERAPIST/ OWNER)
(810) 516-4631
Entity
Organization
Contact information
Practice address
520 N MAIN ST STE 101, CHEBOYGAN, MI 49721-1171
(231) 289-9689
(231) 525-3176
Mailing address
520 N MAIN ST STE 101, CHEBOYGAN, MI 49721-1171
(231) 289-9689
(231) 525-3176
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457770869
—
MI
Enumeration date
02/26/2020
Last updated
07/25/2021
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