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General NPI Number Information
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NPI Number | 1689499626
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Entity Type | Organization
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Legal Business Name | DIGITAL MOTION THERAPY, LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1429 W 110TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102
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Country | US
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Telephone | 440-315-5827
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 W 110TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102
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Country | US
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Telephone | 440-315-5827
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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 | TYLER SMITH
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Credential | OTD
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Telephone | 440-315-5827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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