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General NPI Number Information
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NPI Number | 1740690460
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Entity Type | Organization
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Legal Business Name | THERAPY SPECIALIST SERVICES 1 INC.
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 18951 SW 106TH AVE STE 105-106
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City | CUTLER BAY
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State | FL
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Zip | 33157-7668
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Country | US
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Telephone | 305-233-4448
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Fax | 305-760-4704
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Provider Business Mailing Address
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Address Line | 18951 SW 106TH AVE STE 105-106
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City | CUTLER BAY
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State | FL
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Zip | 33157-7668
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Country | US
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Telephone | 305-233-4448
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Fax | 305-760-4704
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Authorized Official
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Title or Position | CEO
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Name | MARIA MESA
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Credential |
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Telephone | 305-233-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24738
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR14201
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA11940
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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