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General NPI Number Information
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NPI Number | 1467695759
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL INDEPENDENCE THERAPY REHABILITATION INC
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 306 W SOMERDALE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2237
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Country | US
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Telephone | 856-504-3150
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Fax | 856-504-3157
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Provider Business Mailing Address
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Address Line | 306 W SOMERDALE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2237
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Country | US
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Telephone | 856-504-3150
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Fax | 856-504-3157
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIA ROSE TOCCO
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Credential | MSPT
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Telephone | 856-504-3150
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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