Organization
SENSORY OUTLET THERAPY
Active
Organization
SENSORY OUTLET THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SAKS (MANAGER)
(570) 815-2829
Entity
Organization
Contact information
Practice address
7 BRIDGEWOOD AVE, LAKEWOOD, NJ 08701-4749
(732) 776-7078
Mailing address
7 BRIDGEWOOD AVE, LAKEWOOD, NJ 08701-4749
(732) 776-7078
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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