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General NPI Number Information
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NPI Number | 1225932361
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Entity Type | Organization
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Legal Business Name | NEURO EMPOWERING
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 11440 ROSE LN
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City | CINCINNATI
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State | OH
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Zip | 45246-2922
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Country | US
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Telephone | 513-667-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 11440 ROSE LN
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City | CINCINNATI
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State | OH
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Zip | 45246-2922
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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 | OCCUPATIONAL THERAPIST/OWNER
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Name | DR. JEREMY ETISOMBA
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Credential | OTR/L, OTD, CNS
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Telephone | 513-667-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State | NULL
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