Sensory Squad Ot LLC

NPI #1669009965 in Hayden, Idaho

Provider Information

NPI Number: 1669009965
Entity Type: Organization
Organization Name: Sensory Squad Ot LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 25, 2020
Last Updated: Mar 26, 2020

Practice Location

Address: 11388 N CATTLE DR
City: Hayden
State: Idaho
ZIP Code: 83835-9156
Phone: (208) 691-2096

Authorized Official

Name: SAMANTHA WHITING, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (208) 691-2096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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