Organization
SENSATIONAL KIDS PEDIATRIC REHABILITATION & COUNSELING, INC.
Active
Other names
Sensational Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN WILEY BOWLING (PRESIDENT)
(706) 364-3470
Entity
Organization
Contact information
Practice address
3580 RIVER WATCH PKWY, MARTINEZ, GA 30907-3682
(706) 364-3470
(706) 364-3470
Mailing address
3580 RIVER WATCH PKWY, MARTINEZ, GA 30907-3682
(706) 364-3470
(706) 364-3470
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689380396A
—
GA
Enumeration date
04/15/2008
Last updated
01/06/2021
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