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General NPI Number Information
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NPI Number | 1558201962
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Entity Type | Organization
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Legal Business Name | GROWING GAINS OT, PT, SLP PLLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 94 9TH ST STE 218
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City | BROOKLYN
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State | NY
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Zip | 11215-3156
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Country | US
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Telephone | 718-750-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W 66TH ST APT 19H
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City | NEW YORK
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State | NY
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Zip | 10023-6557
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Country | US
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Telephone | 646-655-7434
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTINE ELIZABETH BEAVERS
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Credential | PT, DPT
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Telephone | 646-907-9795
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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