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General NPI Number Information
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NPI Number | 1295092690
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Entity Type | Organization
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Legal Business Name | SENSE-ABILITIES PEDIATRIC THERAPY SERVICES
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 5963 EXCHANGE DR STE 109
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City | ELDERSBURG
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State | MD
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Zip | 21784-9256
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Country | US
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Telephone | 410-552-4044
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Fax | 410-552-4044
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Provider Business Mailing Address
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Address Line | 5963 EXCHANGE DR STE 109
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City | ELDERSBURG
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State | MD
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Zip | 21784-9256
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Country | US
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Telephone | 410-552-4044
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Fax | 410-552-4044
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST, OWNER
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Name | MRS. JAMIE HECOX
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Credential | OTR/L
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Telephone | 410-552-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 04966
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License Number State | MD
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