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General NPI Number Information
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NPI Number | 1326588625
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Entity Type | Organization
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Legal Business Name | GROWING WISE THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 10721 CHAPMAN HWY STE 28
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City | SEYMOUR
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State | TN
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Zip | 37865-4767
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Country | US
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Telephone | 865-322-9252
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Fax | 865-322-9252
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Provider Business Mailing Address
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Address Line | 10721 CHAPMAN HWY STE 28
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City | SEYMOUR
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State | TN
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Zip | 37865-4767
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Country | US
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Telephone | 865-322-9252
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Fax | 865-322-9252
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | STEPHANIE ASBURY MONCRIEF
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Credential | MSOTR/L
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Telephone | 865-322-9252
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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 | 5309
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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