Provider Demographics
NPI:1083462584
Name:SENSATIONAL PROGRESSIONAL OCCUPATIONAL THERAPY LLC
Entity type:Organization
Organization Name:SENSATIONAL PROGRESSIONAL OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:404-274-6415
Mailing Address - Street 1:5895 BROOKSIDE OAK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1751
Mailing Address - Country:US
Mailing Address - Phone:404-954-1026
Mailing Address - Fax:
Practice Address - Street 1:5895 BROOKSIDE OAK CIRCLE
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1751
Practice Address - Country:US
Practice Address - Phone:404-954-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities