Organization
SENSATIONAL KIDS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J AUGUST MS OTR/L (MANAGING MEMBER)
(904) 374-1414
Entity
Organization
Contact information
Practice address
2245 PLANTATION CENTER DR. STE. 57, FLEMING ISLAND, FL 32003-3352
(904) 374-1414
(877) 736-3470
Mailing address
4829 INNISBROOK CT S, ELKTON, FL 32033-2067
(904) 374-1414
(877) 736-3470
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000781600
—
FL
Enumeration date
11/20/2008
Last updated
07/08/2013
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