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General NPI Number Information
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NPI Number | 1104546571
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Entity Type | Organization
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Legal Business Name | HEAD 2 TOE KIDS CARE SENSORY THERAPY CLINIC & ACTIVITY CENTER
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 139 CALLE CAYEY
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City | CAGUAS
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State | PR
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Zip | 00727-4902
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Country | US
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Telephone | 787-600-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 419 CALLE ALMENDRO
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City | CAGUAS
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State | PR
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Zip | 00725-7525
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Country | US
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Telephone | 787-600-4243
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN M RIVERA VISALDEN
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Credential | TO
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Telephone | 787-600-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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