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General NPI Number Information
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NPI Number | 1417647256
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Entity Type | Organization
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Legal Business Name | ROCK STEADY HAND THERAPY REHABILITATION AND WELLNESS
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 3361 CLOUD CROFT CT
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City | MONTGOMERY
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State | IL
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Zip | 60538-3715
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Country | US
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Telephone | 404-903-4395
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Fax |
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Provider Business Mailing Address
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Address Line | 3361 CLOUD CROFT CT
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City | MONTGOMERY
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State | IL
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Zip | 60538-3715
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Country | US
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Telephone | 404-903-4395
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | OLIVER ACOSTA DELA ROSA
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Credential | OTR/L
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Telephone | 404-903-4395
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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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