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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