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General NPI Number Information
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NPI Number | 1619960267
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL AND PHYSICAL THERAPY ASSOCIATES LLC
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 39500 W 10 MILE RD SUITE 108
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City | NOVI
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State | MI
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Zip | 48375-2947
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Country | US
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Telephone | 248-888-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 39500 W 10 MILE RD SUITE 108
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City | NOVI
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State | MI
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Zip | 48375-2947
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Country | US
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Telephone | 248-888-6800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAURA RUPPENTHAL
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Credential | OTRL, CHT
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Telephone | 248-885-2307
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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