Organization
SENSATIONAL KIDS OCCUPATIONAL THERAPY, LLC
Active
Other names
The Center for Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HARRIS OTD, LOTR (MANAGER)
(985) 449-0944
Entity
Organization
Contact information
Practice address
1713 RIDGEFIELD RD STE C, THIBODAUX, LA 70301-4399
(985) 449-0944
(985) 449-0945
Mailing address
1713 RIDGEFIELD RD STE C, THIBODAUX, LA 70301-4399
(985) 449-0944
(985) 449-0945
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
Z12274
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4164
BCBSLA PROVIDER #
LA
Enumeration date
12/21/2006
Last updated
08/22/2020
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