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General NPI Number Information
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NPI Number | 1255860433
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Entity Type | Organization
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Legal Business Name | LIFE IN MOTION PHYSICAL & HAND THERAPY
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 06/09/2017
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Provider Practice Location Address
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Address Line | 9021 OAKHURST RD STE A
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City | SEMINOLE
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State | FL
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Zip | 33776-2156
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Country | US
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Telephone | 727-369-6355
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Fax | 727-362-4766
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Provider Business Mailing Address
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Address Line | 9125 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5406
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Country | US
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Telephone | 727-369-6355
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Fax | 727-362-4766
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Authorized Official
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Title or Position | CO-OWNER
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Name | ADRIENNE D RIVEROS
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Credential | MOTR/L
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Telephone | 727-369-6355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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