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General NPI Number Information
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NPI Number | 1083239602
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Entity Type | Organization
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Legal Business Name | OT & ME PEDIATRICT OCCUPATIONAL THERAPY SERVICES INC.
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 5360 JACKSON DR STE 218B
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City | LA MESA
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State | CA
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Zip | 91942-6004
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Country | US
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Telephone | 619-977-3925
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Fax |
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Provider Business Mailing Address
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Address Line | 5360 JACKSON DR STE 218B
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City | LA MESA
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State | CA
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Zip | 91942-6004
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Country | US
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Telephone | 619-977-3925
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Fax |
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Authorized Official
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Title or Position | CEO/OCCUPATIONAL THERAPIST
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Name | MRS. LEIGH KENDALL POWELL
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Credential | OTR/L
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Telephone | 619-977-3925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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