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General NPI Number Information
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NPI Number | 1477716652
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL THERAPY CENTER, INC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 2500 TANGLEWILDE ST SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77063-2100
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Country | US
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Telephone | 713-789-0472
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Fax | 713-789-2641
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Provider Business Mailing Address
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Address Line | 2500 TANGLEWILDE ST SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77063-2100
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Country | US
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Telephone | 713-789-0472
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BETH MAXEY-KNAPP
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Credential |
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Telephone | 713-789-0472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 508710000
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License Number State | TX
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