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General NPI Number Information
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NPI Number | 1457207565
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Entity Type | Organization
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Legal Business Name | COLLAB THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5907 NINE MILE LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-2590
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Country | US
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Telephone | 914-564-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 5907 NINE MILE LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-2590
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PHINCY THOMAS
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Credential |
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Telephone | 914-564-6550
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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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