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General NPI Number Information
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NPI Number | 1508679648
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Entity Type | Organization
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Legal Business Name | MOVING MOUNTAINS THERAPY, LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 6602 FOXVILLE RD
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City | THURMONT
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State | MD
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Zip | 21788-1569
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Country | US
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Telephone | 204-608-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 12918 LAYMAN RD
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City | THURMONT
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State | MD
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Zip | 21788-2439
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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 | OCCUPATIONAL THERAPIST
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Name | HEATHER SEIDL
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Credential |
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Telephone | 204-608-2275
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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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