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NPI 1750249215

NPI 1750249215 : AURORA RECOVERY OCCUPATIONAL THERAPY : FULSHEAR, TX

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General NPI Number Information
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    NPI Number           |    1750249215
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    Entity Type          |    Organization 
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    Legal Business Name  |    AURORA RECOVERY OCCUPATIONAL THERAPY 
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Dates
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    Enumeration Date     |    01/13/2026
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    5807 AURORA LN 
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    City                 |    FULSHEAR
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    State                |    TX
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    Zip                  |    77441-2652
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    Country              |    US
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    Telephone            |    832-462-5642
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5807 AURORA LN 
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    City                 |    FULSHEAR
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    State                |    TX
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    Zip                  |    77441-2652
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    Country              |    US
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    Telephone            |    832-462-5642
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OCCUPATIONAL THERAPIST
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    Name                 |     YEMISI  ADEWOLE 
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    Credential           |    OTD, OTR/L
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    Telephone            |    832-462-5642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational 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        |    225XM0800X
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    Taxonomy Name        |    Mental Health Occupational Therapist
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    License Number       |    
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    License Number State |    
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