Organization
SENSORY 8 PEDIATRIC THERAPY, LLC
Active
Organization
SENSORY 8 PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KOCHOBAY OTR/L (OCCUPATIONAL THERAPIST)
(267) 730-9411
Entity
Organization
Contact information
Practice address
6277-600 CAROLINA COMMONS #378, INDIAN LAND, SC 29707-6974
(267) 730-9411
(803) 728-3291
Mailing address
5705 CARTER WOODS CT, WAXHAW, NC 28173-6974
(803) 728-3291
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8975
—
SC
Enumeration date
03/22/2019
Last updated
01/06/2023
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