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General NPI Number Information
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NPI Number | 1225565815
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Entity Type | Organization
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Legal Business Name | WELLNESS IN MOTION OCCUPATIONAL THERAPY PC
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 05/15/2017
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Provider Practice Location Address
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Address Line | 5741 157TH ST
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City | FLUSHING
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State | NY
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Zip | 11355-5518
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Country | US
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Telephone | 718-975-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 5741 157TH ST
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City | FLUSHING
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State | NY
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Zip | 11355-5518
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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 | PRESIDENT
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Name | MARIA NAVELGAS
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Credential | OTR/L
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Telephone | 718-975-7655
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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 | 015719
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License Number State | NY
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