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General NPI Number Information
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NPI Number | 1831040096
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Entity Type | Organization
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Legal Business Name | ROOTED PELVIC WELLNESS, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 21 E CLINTON ST STE 200
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City | DOYLESTOWN
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State | OH
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Zip | 44230-1312
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Country | US
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Telephone | 330-331-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 21 E CLINTON ST STE 200
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City | DOYLESTOWN
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State | OH
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Zip | 44230-1312
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Country | US
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Telephone |
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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 | RACHEL RUSSELL
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Credential | MS, OTR/L
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Telephone | 330-331-9299
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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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