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General NPI Number Information
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NPI Number | 1134242779
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Entity Type | Organization
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Legal Business Name | SENSORY CONNECTION, LLC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 1144 SUBSTATION RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-1910
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Country | US
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Telephone | 330-273-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 SUBSTATION RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-1910
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Country | US
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Telephone | 330-273-3854
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Fax |
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Authorized Official
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Title or Position | OWNER - THERAPIST
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Name | MS. CHERYL A WOJTON
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Credential | OTR-L
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Telephone | 330-273-3854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT - 1816
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License Number State | OH
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