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1295582609 NPI number — SENSORY SPEECH & OT THERAPY LLC

NPI Number: 1295582609
Health Care Provider/Practitioner: SENSORY SPEECH & OT THERAPY LLC

Information about “1295582609” NPI (SENSORY SPEECH & OT THERAPY LLC) exists in 1295582609 in HTML format HTML  |  1295582609 in plain Text format TXT  |  1295582609 in PDF (Portable Document Format) PDF  |  1295582609 in an XML format XML  formats.

NPI Number : 1295582609 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295582609",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SENSORY SPEECH & OT THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7825 WASHINGTON AVE S STE 615",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55439-2440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-417-6115",
    "MailingAddressFaxNumber": "952-377-8634",
    "FirstLinePracticeLocationAddress": "7825 WASHINGTON AVE S STE 615",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNEAPOLIS",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55439-2440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-417-6115",
    "PracticeLocationAddressFaxNumber": "952-377-8634",
    "EnumerationDate": "05/02/2024",
    "LastUpdateDate": "09/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARTLETT",
    "AuthorizedOfficialFirstName": "AMBER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF SLP SERVICES",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "651-417-6115",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0400X",
        "TaxonomyName": "Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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