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General NPI Number Information
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NPI Number | 1366951410
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Entity Type | Organization
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Legal Business Name | CTS,LLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7579 WISTERIA DR
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-6982
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Country | US
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Telephone | 615-717-7471
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Fax |
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Provider Business Mailing Address
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Address Line | 7579 WISTERIA DR
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-6982
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Country | US
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Telephone | 615-717-7471
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | TYRICE CARTWRIGHT
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Credential |
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Telephone | 615-717-7471
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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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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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