Provider Demographics
NPI:1174284053
Name:SENSATIONAL BEGINNINGS OT
Entity Type:Organization
Organization Name:SENSATIONAL BEGINNINGS OT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOSHANNA
Authorized Official - Middle Name:ANNAJEAN
Authorized Official - Last Name:RENFRO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:812-987-8744
Mailing Address - Street 1:1789 BETHLEHEM RD NE
Mailing Address - Street 2:
Mailing Address - City:NEW SALISBURY
Mailing Address - State:IN
Mailing Address - Zip Code:47161-7908
Mailing Address - Country:US
Mailing Address - Phone:812-987-8744
Mailing Address - Fax:
Practice Address - Street 1:1789 BETHLEHEM RD NE
Practice Address - Street 2:
Practice Address - City:NEW SALISBURY
Practice Address - State:IN
Practice Address - Zip Code:47161-7908
Practice Address - Country:US
Practice Address - Phone:812-987-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty