Organization
SENSATIONAL KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE MARTIN OTR/L (OWNER)
(606) 831-8752
Entity
Organization
Contact information
Practice address
901 KILGORE DR, ASHLAND, KY 41101-3118
(606) 831-8752
Mailing address
901 KILGORE DR, ASHLAND, KY 41101-3118
(606) 831-8752
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R1895
KY
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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