Provider Demographics
NPI:1841847217
Name:SELL, SUSAN LORRAINE (COT/L)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LORRAINE
Last Name:SELL
Suffix:
Gender:F
Credentials:COT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 CAROL LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2528
Mailing Address - Country:US
Mailing Address - Phone:941-914-6036
Mailing Address - Fax:
Practice Address - Street 1:SENSORY SOLUTIONS LLC
Practice Address - Street 2:22 SARASOTA CENTER BLVD
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240
Practice Address - Country:US
Practice Address - Phone:941-377-9361
Practice Address - Fax:800-370-8553
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10313224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant