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General NPI Number Information
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NPI Number | 1700706157
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Entity Type | Organization
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Legal Business Name | ACE'S INTEGRATED OCCUPATIONAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 4029 LAVERGNE COUCHVILLE PIKE
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City | ANTIOCH
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State | TN
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Zip | 37013-1402
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Country | US
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Telephone | 615-943-1515
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Fax | 615-793-7307
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Provider Business Mailing Address
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Address Line | 4029 LAVERGNE COUCHVILLE PIKE
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City | ANTIOCH
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State | TN
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Zip | 37013-1402
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Country | US
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Telephone | 615-943-1515
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Fax | 615-793-7307
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Authorized Official
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Title or Position | CEO
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Name | MARIAH PRISCILLAH PETTIT
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Credential | MED,
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Telephone | 615-943-1515
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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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