Provider Demographics
NPI:1508639121
Name:SENSATIONAL STUDENTS OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:SENSATIONAL STUDENTS OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:GRAYCE
Authorized Official - Last Name:POYSSICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-433-7725
Mailing Address - Street 1:971 PARK ST APT 414
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-5534
Mailing Address - Country:US
Mailing Address - Phone:727-433-7725
Mailing Address - Fax:
Practice Address - Street 1:971 PARK ST APT 414
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-5534
Practice Address - Country:US
Practice Address - Phone:727-433-7725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty