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General NPI Number Information
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NPI Number | 1750919361
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Entity Type | Organization
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Legal Business Name | MOBILE THERAPY GROUP LLC
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 801 S OLIVE AVE STE 106
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6127
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Country | US
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Telephone | 561-461-5343
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Fax | 561-530-2026
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Provider Business Mailing Address
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Address Line | 630 S SAPODILLA AVE APT 117
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4179
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Country | US
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Telephone | 561-461-5343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA C WEINBERGER
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Credential | OT/L, CHT
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Telephone | 561-461-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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