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General NPI Number Information
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NPI Number | 1467175075
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Entity Type | Organization
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Legal Business Name | BODY SENSE THERAPY SERVICES LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 11874 S LAKE ST
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City | EMPIRE
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State | MI
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Zip | 49630-9409
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Country | US
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Telephone | 720-626-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 11874 S LAKE ST
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City | EMPIRE
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State | MI
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Zip | 49630-9409
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Country | US
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Telephone | 720-626-1083
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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 | ELIZABETH GYR
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Credential | MOT, OTR/L
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Telephone | 720-626-1083
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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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