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General NPI Number Information
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NPI Number | 1225916323
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Entity Type | Organization
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Legal Business Name | HOMEBOUND REBOUND, PLLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 300 GREAT OAKS BLVD STE 300
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City | ALBANY
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State | NY
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Zip | 12203-7904
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Country | US
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Telephone | 518-227-1549
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Fax |
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Provider Business Mailing Address
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Address Line | 300 GREAT OAKS BLVD STE 300
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City | ALBANY
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State | NY
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Zip | 12203-7904
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Country | US
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Telephone | 518-227-1549
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | NANETTE MICHELLE BRENNER
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Credential | OTR
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Telephone | 518-227-1549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number |
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License Number State |
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