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General NPI Number Information
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NPI Number | 1396525259
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Entity Type | Organization
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Legal Business Name | REHABHANDS THERAPY, LLC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 20450 E OCOTILLO RD APT 167
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-1208
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Country | US
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Telephone | 773-954-6344
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Fax |
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Provider Business Mailing Address
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Address Line | 20450 E OCOTILLO RD APT 167
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-1208
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Country | US
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Telephone | 773-954-6344
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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 | DR. ANGELICA GACEK
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Credential | OTD, OTR/L
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Telephone | 773-954-6344
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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 |
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License Number State |
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