Provider Demographics
NPI:1285966531
Name:SENSORY FREEWAY THERAPY SERVICES OT, PT AND SLP, PLLC
Entity type:Organization
Organization Name:SENSORY FREEWAY THERAPY SERVICES OT, PT AND SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:KEENAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA,OTR/L
Authorized Official - Phone:718-238-7451
Mailing Address - Street 1:8746 20TH AVENUE, 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-238-7450
Mailing Address - Fax:718-238-2765
Practice Address - Street 1:8746 20TH AVENUE, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:718-238-7450
Practice Address - Fax:718-238-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy