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General NPI Number Information
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NPI Number | 1710413018
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Entity Type | Organization
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Legal Business Name | PEAK PT AND WELLNESS
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 16522 KEYSTONE BLVD UNIT N
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City | PARKER
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State | CO
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Zip | 80134-3303
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Country | US
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Telephone | 954-549-3525
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Fax | 303-840-7326
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Provider Business Mailing Address
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Address Line | 16522 KEYSTONE BLVD UNIT N
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City | PARKER
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State | CO
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Zip | 80134-3303
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Country | US
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Telephone | 954-549-3525
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Fax | 303-840-7326
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. MELISSA CHRISTINE CEPEDA
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Credential | OTR/L
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Telephone | 954-549-3525
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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 | OT.0005018
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License Number State | CO
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