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General NPI Number Information
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NPI Number | 1225840457
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Entity Type | Organization
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Legal Business Name | WEBSTER PEDIATRIC THERAPY, LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 4875 S BALSAM WAY UNIT 15-203
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City | DENVER
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State | CO
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Zip | 80123-5413
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Country | US
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Telephone | 312-618-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 4875 S BALSAM WAY UNIT 15-203
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City | DENVER
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State | CO
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Zip | 80123-5413
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Country | US
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Telephone | 312-618-6162
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST, OWNER
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Name | PAULINA PEI
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Credential | OTR/L
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Telephone | 312-618-6162
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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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