Provider Demographics
NPI:1639989346
Name:SENSORY WINGS & VOICES PEDIATRIC THERAPY PC
Entity type:Organization
Organization Name:SENSORY WINGS & VOICES PEDIATRIC THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCALI
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR
Authorized Official - Phone:201-636-9719
Mailing Address - Street 1:236 E WESTFIELD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2084
Mailing Address - Country:US
Mailing Address - Phone:201-636-9719
Mailing Address - Fax:
Practice Address - Street 1:236 E WESTFIELD AVE STE 203
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2084
Practice Address - Country:US
Practice Address - Phone:201-636-9719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty