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General NPI Number Information
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NPI Number | 1669178612
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Entity Type | Organization
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Legal Business Name | MOTION360 THERAPY, LLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 3810 CENTRAL PIKE STE 105
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City | HERMITAGE
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State | TN
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Zip | 37076-3495
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Country | US
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Telephone | 615-942-0380
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Fax | 866-422-1262
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Provider Business Mailing Address
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Address Line | 3810 CENTRAL PIKE STE 105
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City | HERMITAGE
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State | TN
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Zip | 37076-3495
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Country | US
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Telephone | 615-942-0380
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Fax | 866-422-1262
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | RITA EILEEN GESSFORD
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Credential | OTR/L
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Telephone | 615-942-0380
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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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