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General NPI Number Information
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NPI Number | 1619766441
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Entity Type | Organization
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Legal Business Name | SUMMIT OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1730 S COLLEGE AVE STE 301
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City | FORT COLLINS
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State | CO
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Zip | 80525-1073
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Country | US
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Telephone | 970-900-6930
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Fax | 970-449-0576
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Provider Business Mailing Address
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Address Line | 1730 S COLLEGE AVE STE 301
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City | FORT COLLINS
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State | CO
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Zip | 80525-1073
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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 | CO-OWNER
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Name | JESSICA HOGAN
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Credential | M.S. CCC-SLP
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Telephone | 617-448-5633
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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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