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General NPI Number Information
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NPI Number | 1548667561
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Entity Type | Organization
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Legal Business Name | LITTLE MOVERS THERAPY, INC
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 12777 W FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 954-579-1866
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Fax | 561-337-8871
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Provider Business Mailing Address
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Address Line | 125 S STATE ROAD 7 STE 177
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City | WELLINGTON
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State | FL
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Zip | 33414-4385
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Country | US
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Telephone | 954-579-1866
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Fax | 561-337-8871
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELYSE SALZMAN
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Credential | MPT
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Telephone | 954-579-1866
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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 | PT19238
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License Number State | FL
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