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General NPI Number Information
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NPI Number | 1629681556
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Entity Type | Individual
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Provider Name | JESSICA TORRICO OTR
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Gender | Female
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Dates
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Enumeration Date | 08/29/2020
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 601 N HEPBURN AVE
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City | JUPITER
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State | FL
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Zip | 33458-5014
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Country | US
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Telephone | 561-747-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 306 ELIZABETH RD
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City | LAKE WORTH
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State | FL
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Zip | 33461-3759
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Country | US
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Telephone | 561-779-8996
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA30486
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT25661
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License Number State | FL
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