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General NPI Number Information
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NPI Number | 1376266890
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Entity Type | Organization
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Legal Business Name | CERTIFIED THERAPY GROUP INC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1301 E BROWARD BLVD STE 250C
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2114
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Country | US
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Telephone | 954-401-5055
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Fax | 954-212-3191
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Provider Business Mailing Address
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Address Line | 1301 E BROWARD BLVD STE 250C
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2114
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Country | US
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Telephone | 954-401-5055
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Fax | 954-212-3191
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER WHARTON
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Credential |
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Telephone | 954-401-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical 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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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