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General NPI Number Information
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NPI Number | 1093539967
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Entity Type | Organization
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Legal Business Name | HABILITY THERAPY LLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 243 MILLTOWN RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2254
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Country | US
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Telephone | 732-490-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LEGACY PL UNIT 538
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5061
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Country | US
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Telephone | 732-490-1170
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | NIREL MEADOWS
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Credential | OTR/L
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Telephone | 732-490-1170
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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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