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General NPI Number Information
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NPI Number | 1629766274
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO PROGRESS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 398 CAMINO GARDENS BLVD STE 207
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City | BOCA RATON
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State | FL
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Zip | 33432-5827
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Country | US
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Telephone | 561-523-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 NW 60TH ST
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City | PARKLAND
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State | FL
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Zip | 33067-4424
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Country | US
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Telephone | 561-213-4538
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | TIFFANY THOMSEN
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Credential | MS, OTR/L
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Telephone | 561-213-4538
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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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