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General NPI Number Information
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NPI Number | 1508174574
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Entity Type | Organization
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Legal Business Name | THERAPY DYNAMICS, INC.
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 8811 GARVEY AVE STE 203
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City | ROSEMEAD
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State | CA
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Zip | 91770-2464
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Country | US
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Telephone | 626-943-9153
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Fax | 626-943-9216
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Provider Business Mailing Address
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Address Line | 7220 ELDERLY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-3220
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Country | US
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Telephone | 626-943-9153
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Fax | 626-943-9216
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Authorized Official
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Title or Position | CEO/CFO
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Name | CARLA D VARELA
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Credential | OTR, HTC
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Telephone | 626-943-9153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT7380
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License Number State | CA
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