Organization
KIDSENSE THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRIFFITH COTA/L (OWNER)
(203) 874-5437
Entity
Organization
Contact information
Practice address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
(203) 301-0552
Mailing address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008591
CT
221700000X
Art Therapist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
CT
05
—
225X00000X
—
CT
Enumeration date
04/08/2015
Last updated
09/08/2015
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