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General NPI Number Information
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NPI Number | 1750141297
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC WELLNESS CONSULTATION, LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 12607 BALTA RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-2928
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Country | US
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Telephone | 843-343-4206
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Fax | 804-566-3486
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Provider Business Mailing Address
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Address Line | 12607 BALTA RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-2928
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Country | US
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Telephone | 843-343-4206
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | HEATHER N CHUMLEY-JONES
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Credential | MSRPT
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Telephone | 843-343-4206
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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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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