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General NPI Number Information
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NPI Number | 1619722832
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Entity Type | Organization
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Legal Business Name | WIGGLES THERAPY, PLLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 133 S ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60607-2485
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Country | US
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Telephone | 312-288-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 W MADISON ST APT 519
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City | CHICAGO
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State | IL
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Zip | 60607-1946
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD PHYSICAL THERAPIST
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Name | DR. SHIVANI RAMI
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Credential | DPT
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Telephone | 248-219-1607
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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 |
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License Number State |
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