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General NPI Number Information
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NPI Number | 1639389778
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Entity Type | Organization
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Legal Business Name | PEDIATRIC THERAPY UNLIMITED
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 51 LINCOLN AVE
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City | LYNNFIELD
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State | MA
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Zip | 01940-1815
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Country | US
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Telephone | 781-334-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 51 LINCOLN AVE
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City | LYNNFIELD
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State | MA
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Zip | 01940-1815
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Country | US
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Telephone | 781-334-4412
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. LEAH JANE GUIMONT
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Credential | OTR
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Telephone | 978-808-0694
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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 | 8065
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License Number State | MA
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