Provider Demographics
NPI:1689976110
Name:THE SENSORY CONNECTION
Entity type:Organization
Organization Name:THE SENSORY CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:DUMEY
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:520-298-5437
Mailing Address - Street 1:6743 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2806
Mailing Address - Country:US
Mailing Address - Phone:520-298-5437
Mailing Address - Fax:520-298-5438
Practice Address - Street 1:6743 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2806
Practice Address - Country:US
Practice Address - Phone:520-298-5437
Practice Address - Fax:520-298-5438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2010-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2373261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1477706265Medicaid