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NPI 1821786559

NPI 1821786559 : OVER THE TOP THERAPY : GUILFORD, CT

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General NPI Number Information
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    NPI Number           |    1821786559
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    Entity Type          |    Organization 
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    Legal Business Name  |    OVER THE TOP THERAPY 
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Dates
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    Enumeration Date     |    05/01/2023
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    197 VILLAGE POND RD 
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-2049
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    Country              |    US
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    Telephone            |    203-200-0708
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    Fax                  |    833-993-1356
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Provider Business Mailing Address
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    Address Line         |    197 VILLAGE POND RD 
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-2049
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    Country              |    US
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    Telephone            |    203-859-1264
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    Fax                  |    475-900-3040
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |     DANIELLE  OTT 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    203-275-9575
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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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