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Contact Information

SENSORY OUTLET, LLC
7 BRIDGEWOOD AVE
LAKEWOOD TOWNSHIP, NJ08701
 Phone: 732-730-7850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Mental Health

225XM0800X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SENSORY OUTLET, LLC

NPI Number 1104273937
LBN Legal business name SENSORY OUTLET, LLC
Authorized official ESTEE SAKS - (OWNER, DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2016
Last updated 05/23/2016 - About 10 years ago
Identifiers
NJ License # 46TR00700200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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