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General NPI Number Information
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NPI Number | 1447827605
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Entity Type | Organization
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Legal Business Name | WESSON PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 4158 MILLHOUSE LN
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3009
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Country | US
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Telephone | 770-847-9838
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Fax | 770-847-8112
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Provider Business Mailing Address
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Address Line | 4158 MILLHOUSE LN
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2110
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Country | US
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Telephone | 770-329-4165
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Fax | 770-847-8112
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL WESSON
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Credential | MS,OTR/L
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Telephone | 770-329-4165
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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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