Organization
SENSATION STATION GUILFORD INC
Active
Organization
SENSATION STATION GUILFORD INC
Active
Other names
sensation station
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL STUART FEDORUK OT (PRESIDENT)
(203) 458-1000
Entity
Organization
Contact information
Practice address
725 BOSTON POST RD, STE 3, GUILFORD, CT 06437-2736
(917) 279-0906
(203) 286-1688
Mailing address
725 BOSTON POST RD, STE 3, GUILFORD, CT 06437-2736
(203) 458-1000
(203) 286-1688
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
002800
CT
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
002800
CT
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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