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General NPI Number Information
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NPI Number | 1851917330
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Entity Type | Organization
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Legal Business Name | EQUAL STEPS THERAPY SERVICES, P. C.
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 1319 JILL TER
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City | HOMEWOOD
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State | IL
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Zip | 60430-4045
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Country | US
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Telephone | 708-359-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 JILL TER
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City | HOMEWOOD
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State | IL
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Zip | 60430-4045
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Country | US
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Telephone | 708-359-8444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASMIN TRAVIS
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Credential | OTR/L
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Telephone | 708-359-8444
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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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