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Organization

SENSORY BOUNCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIRIAM B SKYDELL MS, OTR/L (FOUNDER, DIRECTOR)
(201) 794-7700
Entity
Organization

Contact information

Practice address
16-00 ROUTE 208, FAIR LAWN, NJ 07410-2503
(201) 759-4465
(201) 759-4465
Mailing address
16-00 ROUTE 208, FAIR LAWN, NJ 07410-2503
(201) 759-4465

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00169900
NJ

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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