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General NPI Number Information
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NPI Number | 1841942364
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Entity Type | Organization
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Legal Business Name | HEADWAY OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 9527 S 87TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-6410
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Country | US
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Telephone | 832-409-3832
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Fax |
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Provider Business Mailing Address
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Address Line | 9527 S 87TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-6410
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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 | DR. ERIN SHIRK
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Credential | OTR
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Telephone | 832-409-3832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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