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General NPI Number Information
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NPI Number | 1215851613
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Entity Type | Organization
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Legal Business Name | OT & SEATING CLINIC LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 2475 PALM BAY RD NE
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City | PALM BAY
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State | FL
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Zip | 32905-3317
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Country | US
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Telephone | 321-604-9881
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Fax | 321-252-5999
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Provider Business Mailing Address
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Address Line | 2475 PALM BAY RD NE 145-3
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City | PALM BAY
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State | FL
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Zip | 32905-3317
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Country | US
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Telephone | 321-604-9881
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Fax | 321-252-5999
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MAYTE GOMEZ SOSA
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Credential | OTR
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Telephone | 321-604-9881
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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 |
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