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General NPI Number Information
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NPI Number | 1235265588
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Entity Type | Organization
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Legal Business Name | AT HOME THERAPY SERVICES LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2535 COOPER FOSTER PARK RD
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City | VERMILION
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State | OH
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Zip | 44089-3547
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Country | US
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Telephone | 440-984-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 2535 COOPER FOSTER PARK RD
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City | VERMILION
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State | OH
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Zip | 44089-3547
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Country | US
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Telephone | 440-984-2543
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Fax |
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Authorized Official
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Title or Position | OWNER -PRESIDENT
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Name | MS. JULIE L PECHAITIS
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Credential | PT
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Telephone | 440-984-2543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7881
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License Number State | OH
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