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General NPI Number Information
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NPI Number | 1790512861
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Entity Type | Organization
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Legal Business Name | VITAL MOVEMENT, LLC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 1500 S CARAWAY RD STE B
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City | JONESBORO
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State | AR
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Zip | 72401-5308
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Country | US
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Telephone | 870-530-9007
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Fax | 870-698-8059
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Provider Business Mailing Address
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Address Line | 1500 S CARAWAY RD STE B
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City | JONESBORO
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State | AR
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Zip | 72401-5308
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Country | US
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Telephone | 870-530-9007
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Fax | 870-698-8059
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | KARA ELIZABETH NORTON
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Credential | OTR/L
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Telephone | 870-636-9202
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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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Taxonomy #2
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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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