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General NPI Number Information
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NPI Number | 1104791201
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Entity Type | Organization
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Legal Business Name | REACH THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3908 W MULLEN AVE
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City | TAMPA
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State | FL
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Zip | 33609-4427
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Country | US
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Telephone | 847-477-5514
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 W MULLEN AVE
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City | TAMPA
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State | FL
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Zip | 33609-4427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST AND CTRS
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Name | MARA ROSEN
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Credential | OTD, OTR/L, CTRS
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Telephone | 847-477-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation 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 | 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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