Provider Demographics
NPI:1871240713
Name:SENSORYWORKS LLC
Entity Type:Organization
Organization Name:SENSORYWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:T
Authorized Official - Last Name:PORTOGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:727-389-1339
Mailing Address - Street 1:711 CRYSTAL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-6431
Mailing Address - Country:US
Mailing Address - Phone:727-389-1339
Mailing Address - Fax:813-212-3870
Practice Address - Street 1:711 CRYSTAL LAKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-6431
Practice Address - Country:US
Practice Address - Phone:727-389-1339
Practice Address - Fax:813-212-3870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty