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General NPI Number Information
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NPI Number | 1215027628
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 1543 OGDEN RD
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City | MONTROSE
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State | CO
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Zip | 81401-5683
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Country | US
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Telephone | 970-252-0888
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Fax | 970-252-9226
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Provider Business Mailing Address
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Address Line | 1543 OGDEN RD
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City | MONTROSE
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State | CO
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Zip | 81401-5683
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Country | US
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Telephone | 970-252-0888
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Fax | 970-252-9226
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE W BAIZE JR.
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Credential | MA OTR/L
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Telephone | 970-596-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CO
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