Organization
THE SENSORY LOFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE ANN DIMAGGIO OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(979) 446-2025
Entity
Organization
Contact information
Practice address
3220 WALNUT CREEK CT, BRYAN, TX 77807-4851
(979) 822-1095
Mailing address
3220 WALNUT CREEK CT, BRYAN, TX 77807-4851
(979) 822-1095
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
117674
TX
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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