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NPI 1811480767

NPI 1811480767 : STRIDES OCCUPATIONAL THERAPY SERVICES, INC. : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1811480767
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRIDES OCCUPATIONAL THERAPY SERVICES, INC. 
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Dates
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    Enumeration Date     |    06/14/2018
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    Last Update Date     |    06/14/2018
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Provider Practice Location Address
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    Address Line         |    5720 SPANISH OAKS LN 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34119-1156
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    Country              |    US
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    Telephone            |    813-476-5009
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5720 SPANISH OAKS LN 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34119-1156
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    Country              |    US
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    Telephone            |    813-476-5009
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARAH  POINDEXTER 
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    Credential           |    
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    Telephone            |    813-476-5009
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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       |    OT17268
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    License Number State |    FL
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