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General NPI Number Information
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NPI Number | 1033085451
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Entity Type | Organization
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Legal Business Name | MAGIC MILESTONES THERAPY, LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4012 HUNTWICK BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2911
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Country | US
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Telephone | 337-356-2875
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Fax |
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Provider Business Mailing Address
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Address Line | 4012 HUNTWICK BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2911
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Country | US
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Telephone | 337-356-2875
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | LAUREL JOSEPH GRALAPP
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Credential | LOTR
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Telephone | 337-356-2875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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