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General NPI Number Information
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NPI Number | 1124086160
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL THERAPY OF THE TREASURE COAST INC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3060 SW CAPTIVA CT
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City | PALM CITY
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State | FL
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Zip | 34990-3183
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Country | US
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Telephone | 772-221-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 SW CAPTIVA CT
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City | PALM CITY
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State | FL
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Zip | 34990-3183
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Country | US
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Telephone | 772-221-0006
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA ELIZABETH VAN RHYN
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Credential |
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Telephone | 772-221-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 4889
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License Number State | FL
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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 | OT8293
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT611
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License Number State | FL
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