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General NPI Number Information
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NPI Number | 1477428506
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Entity Type | Organization
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Legal Business Name | MIND BODY FOUNDATIONS OT, LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 407-706-4836
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 STERLING CREEK PKWY
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City | OVIEDO
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State | FL
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Zip | 32766-8659
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Country | US
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Telephone | 407-706-4836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BONNIE LEE ARENAS-ROSE
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Credential | MOT,OTR/L
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Telephone | 407-706-4836
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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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