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General NPI Number Information
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NPI Number | 1356668230
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Entity Type | Organization
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Legal Business Name | WELLNESS & THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 8981 W SAHARA AVE STE. 120
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City | LAS VEGAS
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State | NV
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Zip | 89117-5897
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Country | US
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Telephone | 562-500-1201
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Fax | 800-610-5973
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Provider Business Mailing Address
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Address Line | 8981 W SAHARA AVE STE. 120
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City | LAS VEGAS
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State | NV
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Zip | 89117-5897
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Country | US
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Telephone | 562-500-1201
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Fax | 800-610-5973
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JUMOKE FRANCES ABEGUNDE
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Credential | M.ED., OTR/L
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Telephone | 562-500-1201
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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 | 09-0195
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License Number State | NV
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