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General NPI Number Information
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NPI Number | 1730973298
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Entity Type | Organization
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Legal Business Name | FLOW THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1034 17TH ST N
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City | FARGO
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State | ND
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Zip | 58102-3327
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Country | US
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Telephone | 218-779-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 17TH ST N
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City | FARGO
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State | ND
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Zip | 58102-3327
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Country | US
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Telephone | 218-779-2160
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Fax |
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | MEGAN BOUCHER
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Credential | MA, OTR/L
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Telephone | 218-779-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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