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General NPI Number Information
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NPI Number | 1104624816
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Entity Type | Organization
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Legal Business Name | TWO TREES THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 6860 S YOSEMITE CT STE 2104
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City | CENTENNIAL
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State | CO
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Zip | 80112-1409
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Country | US
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Telephone | 720-500-2062
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Fax |
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Provider Business Mailing Address
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Address Line | 6860 S YOSEMITE CT STE 2104
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City | CENTENNIAL
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State | CO
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Zip | 80112-1409
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Country | US
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Telephone | 720-500-2062
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Fax |
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Authorized Official
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Title or Position | CEO, PSYCHOLOGIST, OT
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Name | DR. FAYE KOUIMELIS
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Credential | PSYD, OTR/L
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Telephone | 720-500-2062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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