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NPI Code Detail

MEDICARE: SENSORY SYSTEMS CLINIC PC

MEDICARE: SENSORY SYSTEMS CLINIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1477534410
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENSORY SYSTEMS CLINIC PC
Provider Business Mailing Address
First Line : 30801 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48082-1732
Country : US
Telephone Number : 586-293-7553
Fax Number : 586-293-5827
Provider Business Practice Location Address
First Line : 30801 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48082-1732
Country : US
Telephone Number : 586-293-7553
Fax Number : 586-293-5827
Authorized Official
Title or Position : PRESIDENT DIRECTOR
Name : SANDRA JEAN GLOVAK
Credential : OTR
Telephone Number : 586-293-7553
Provider Enumeration Date : 11/08/2005
Last Update Date : 08/22/2020

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Directions to “SENSORY SYSTEMS CLINIC PC ” Practice Location

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