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General NPI Number Information
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NPI Number | 1013657972
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Entity Type | Organization
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Legal Business Name | THERAPY IN MOTION LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 4 BLUEBIRD CIR
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City | EAST LYME
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State | CT
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Zip | 06333-1346
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Country | US
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Telephone | 860-908-5843
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BLUEBIRD CIR
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City | EAST LYME
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State | CT
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Zip | 06333-1346
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Country | US
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Telephone | 860-908-5843
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ELIZABETH STADLER-RHEAUME
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Credential |
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Telephone | 860-908-5843
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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 |
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License Number State |
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