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General NPI Number Information
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NPI Number | 1326331224
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Entity Type | Organization
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Legal Business Name | HOLISTIC WELLNESS HEALING AND LEARNING THERAPY
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 10700 SW 60TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1204
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Country | US
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Telephone | 786-683-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 SW 60TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1204
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Country | US
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Telephone | 786-683-0231
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/DIRECTOR
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Name | MRS. JESSICA MICHELLE TORNA
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Credential | OTR/L
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Telephone | 786-683-0231
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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 | OT11244
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License Number State | FL
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