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General NPI Number Information
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NPI Number | 1255239257
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Entity Type | Organization
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Legal Business Name | SALT AND SAND PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 2107 HERBERTSVILLE RD UNIT B
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City | POINT PLEASANT BORO
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State | NJ
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Zip | 08742-2255
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Country | US
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Telephone | 732-314-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 199 GILFORD AVE # 833
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City | ISLAND HEIGHTS
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State | NJ
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Zip | 08732-7756
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Country | US
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Telephone | 908-403-9210
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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 | ALEXANDRA EBERLE
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Credential | MS, OTR/L
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Telephone | 908-403-9210
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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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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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