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General NPI Number Information
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NPI Number | 1669281523
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Entity Type | Organization
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Legal Business Name | LEAP PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 2020 HIGHWAY 33 UNIT A
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City | PELHAM
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State | AL
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Zip | 35124-4891
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Country | US
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Telephone | 205-202-9551
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Fax | 205-377-7177
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Provider Business Mailing Address
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Address Line | 2020 HIGHWAY 33
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City | PELHAM
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State | AL
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Zip | 35124-4890
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Country | US
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Telephone | 205-202-9551
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Fax | 205-377-7177
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Authorized Official
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Title or Position | OWNER
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Name | JILLIAN MOSCICKI
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Credential | PT, DPT
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Telephone | 205-202-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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