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Organization

SENSATIONAL KIDS THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAM MOORE OTR (OWNER)
(229) 563-0811
Entity
Organization

Contact information

Practice address
6595 COLE RD, HAHIRA, GA 31632-3621
(229) 563-0811
(229) 794-8009
Mailing address
6595 COLE RD, HAHIRA, GA 31632-3621
(229) 563-0811
(229) 794-8009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003205
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000885849E
GA
Enumeration date
08/31/2006
Last updated
10/15/2012
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