Healthcare Provider Details

I. General information

NPI: 1700940475
Provider Name (Legal Business Name): SENSORY SOLUTIONS, AN OCCUPATIONAL THERAPY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3666 HIGHWAY 308
NAPOLEONVILLE LA
70390-8806
US

IV. Provider business mailing address

3666 HIGHWAY 308
NAPOLEONVILLE LA
70390-8806
US

V. Phone/Fax

Practice location:
  • Phone: 985-665-7575
  • Fax:
Mailing address:
  • Phone: 985-665-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberZ12297
License Number StateLA

VIII. Authorized Official

Name: MRS. ASHLEY MARCELLO WAGUESPACK
Title or Position: PRESIDENT
Credential: M.S., L.O.T.R.
Phone: 985-665-7575