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General NPI Number Information
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NPI Number | 1609949171
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Entity Type | Organization
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Legal Business Name | HEALING IN MOTION PLLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/07/2021
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Provider Practice Location Address
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Address Line | 24520 MEADOWBROOK RD STE 225
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City | NOVI
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State | MI
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Zip | 48375-2867
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Country | US
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Telephone | 734-913-4816
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Fax | 734-913-8021
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Provider Business Mailing Address
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Address Line | 24520 MEADOWBROOK RD STE 225
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City | NOVI
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State | MI
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Zip | 48375-2867
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Country | US
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Telephone | 734-913-4816
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Fax | 734-913-8021
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Authorized Official
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Title or Position | OWNER
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Name | MS. LISA M. WILEY
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Credential | OTRL, CHT
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Telephone | 734-913-4816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501011880
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501005696
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201006188
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License Number State | MI
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