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General NPI Number Information
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NPI Number | 1306414073
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Entity Type | Organization
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Legal Business Name | HEALING IN MOTION PLLC
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 24520 MEADOWBROOK RD STE 225
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City | NOVI
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State | MI
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Zip | 48375-2867
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Country | US
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Telephone | 734-913-4816
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Fax | 734-913-8021
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Provider Business Mailing Address
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Address Line | 5340 PLYMOUTH RD STE 100
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City | ANN ARBOR
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State | MI
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Zip | 48105-9557
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Country | US
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Telephone | 734-913-4816
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Fax | 734-913-8021
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Authorized Official
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Title or Position | OWNER
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Name | LISA MICHELLE WILEY
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Credential | OTRL
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Telephone | 734-913-4816
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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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