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General NPI Number Information
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NPI Number | 1689000374
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Entity Type | Organization
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Legal Business Name | OTOC OCCUPATIONAL THERAPY SERVICES INCORPORATED
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 22642 LAMBERT ST STE 403
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City | LAKE FOREST
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State | CA
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Zip | 92630-1610
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Country | US
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Telephone | 949-922-9378
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Fax | 949-273-6433
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Provider Business Mailing Address
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Address Line | 22642 LAMBERT ST STE 403
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City | LAKE FOREST
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State | CA
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Zip | 92630-1610
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Country | US
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Telephone | 949-922-9378
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | JULIE ELLEN PAPADAKIS
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Credential | OTR/L, HTC, PAMS
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Telephone | 949-922-9378
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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 | AA560458
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License Number State | CA
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