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General NPI Number Information
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NPI Number | 1457997314
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Entity Type | Individual
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Provider Name | COURTNEY LEE GARNETT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 9018 HERITAGE PKWY
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City | WOODRIDGE
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State | IL
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Zip | 60517-5041
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Country | US
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Telephone | 630-442-7622
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Fax |
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Provider Business Mailing Address
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Address Line | 5704 PERSHING AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1135
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Country | US
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Telephone | 847-873-7122
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OC016667
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License Number State | PA
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