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General NPI Number Information
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NPI Number | 1619871654
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Entity Type | Organization
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Legal Business Name | JOYFUL SPROUTS OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 4036 PICARDY DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-2122
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Country | US
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Telephone | 312-768-8123
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Fax |
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Provider Business Mailing Address
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Address Line | 4036 PICARDY DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-2122
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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 | OTR/L
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Name | YU ZHAO
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Credential | OTR/L
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Telephone | 312-768-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | NULL
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