Provider Demographics
NPI:1770507311
Name:SENSINTAFFAR, GLENDA (OT)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:
Last Name:SENSINTAFFAR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:
Other - Last Name:BRAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1169 COUNTY ROAD 6470
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MO
Mailing Address - Zip Code:65560-6113
Mailing Address - Country:US
Mailing Address - Phone:845-797-9967
Mailing Address - Fax:
Practice Address - Street 1:226 WHITE ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6814
Practice Address - Country:US
Practice Address - Phone:203-797-1500
Practice Address - Fax:203-791-0495
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000993225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist