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General NPI Number Information
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NPI Number | 1467361527
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Entity Type | Organization
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Legal Business Name | PEDIATRIC OCCUPATIONAL THERAPY BY THE SEA PC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 256 N COAST HIGHWAY 101 STE C
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City | ENCINITAS
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State | CA
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Zip | 92024-3274
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Country | US
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Telephone | 310-561-5173
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Fax |
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Provider Business Mailing Address
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Address Line | 170 PHOEBE ST APT 1
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City | ENCINITAS
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State | CA
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Zip | 92024-1465
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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 | LAURA THATCHER
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Credential | MOT, OTR/L
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Telephone | 310-561-5173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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