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NPI 1548242381

NPI 1548242381 : LEAPS & BOUNDS PEDIATRIC THERAPY : CAYCE, SC

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General NPI Number Information
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    NPI Number           |    1548242381
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEAPS & BOUNDS PEDIATRIC THERAPY 
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Dates
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    Enumeration Date     |    11/17/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    989 KNOX ABBOTT DR SUITE 400
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    City                 |    CAYCE
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    State                |    SC
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    Zip                  |    29033-3346
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    Country              |    US
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    Telephone            |    803-796-7421
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    Fax                  |    803-796-7422
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Provider Business Mailing Address
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    Address Line         |    989 KNOX ABBOTT DR SUITE 400
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    City                 |    CAYCE
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    State                |    SC
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    Zip                  |    29033-3346
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    Country              |    US
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    Telephone            |    803-796-7421
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    Fax                  |    803-796-7422
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. JULIANNE PRICE JONES 
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    Credential           |    OTR/L
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    Telephone            |    803-796-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    2495
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    1304
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    4245
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    License Number State |    SC
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