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General NPI Number Information
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NPI Number | 1841757077
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Entity Type | Individual
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Provider Name | ABBY MARIE ENGELBACH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 1280 DOCTORS DR
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City | FARMINGTON
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State | MO
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Zip | 63640-2932
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Country | US
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Telephone | 573-760-8429
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Fax |
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Provider Business Mailing Address
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Address Line | 7004 MANOR CT
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City | BARNHART
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State | MO
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Zip | 63012-1225
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Country | US
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Telephone | 660-621-1939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2022007674
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License Number State | MO
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