Provider Demographics
NPI:1790055606
Name:SENSORY STRIDES, INC
Entity Type:Organization
Organization Name:SENSORY STRIDES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:314-805-7275
Mailing Address - Street 1:17 N LOOMIS ST
Mailing Address - Street 2:APT 3K
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1914
Mailing Address - Country:US
Mailing Address - Phone:314-805-7275
Mailing Address - Fax:
Practice Address - Street 1:17 N LOOMIS ST
Practice Address - Street 2:APT 3K
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1914
Practice Address - Country:US
Practice Address - Phone:314-805-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-008160225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty