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General NPI Number Information
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NPI Number | 1194522110
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE REHABILITATION & THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3126 LAKE AVE
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City | WILMETTE
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State | IL
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Zip | 60091-1135
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Country | US
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Telephone | 847-778-6804
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 LAKE AVE
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City | WILMETTE
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State | IL
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Zip | 60091-1135
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Country | US
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Telephone | 847-778-6804
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAURIE B AXELROD-MAALUL
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Credential | OTR/L
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Telephone | 847-778-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage 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 | 225A00000X
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Taxonomy Name | Music Therapist
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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 | 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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Taxonomy #4
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Taxonomy Code | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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