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NPI 1588323117

NPI 1588323117 : QUALITY THERAPEUTIC HEALTH SERVICES : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1588323117
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY THERAPEUTIC HEALTH SERVICES 
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Dates
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    Enumeration Date     |    12/10/2021
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    Last Update Date     |    07/25/2023
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Provider Practice Location Address
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    Address Line         |    2401 S. WESTSHORE BLVD APT 619
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33616
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    Country              |    US
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    Telephone            |    310-944-8743
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 130341 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33681-0341
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    Country              |    US
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    Telephone            |    310-944-8743
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    DR. MIRIAM  WASSERMAN 
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    Credential           |    OTR/L
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    Telephone            |    310-944-8743
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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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