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General NPI Number Information
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NPI Number | 1316852338
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Entity Type | Organization
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Legal Business Name | PEDIATRIC OT CONNECTIONS
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 413 SHORTER AVE SW STE 103
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City | ROME
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State | GA
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Zip | 30165-4292
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Country | US
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Telephone | 706-346-4666
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Fax | 706-232-9303
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Provider Business Mailing Address
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Address Line | 30 NICKLAUS DR NW
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City | ROME
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State | GA
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Zip | 30165-9518
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Country | US
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Telephone | 706-346-4666
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Fax | 706-232-9303
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACQUELINE CURRY HOSTETLER
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Credential | HOSTETLER
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Telephone | 706-346-4666
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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 |
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License Number State |
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