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General NPI Number Information
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NPI Number | 1861822934
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Entity Type | Organization
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Legal Business Name | SIMPLY SENSATIONAL THERAPY LLC
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 4925 E 93RD ST
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-2104
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Country | US
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Telephone | 440-567-3648
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 E 93RD ST
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-2104
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Country | US
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Telephone | 440-567-3648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTEN MARIE PATAKI
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Credential | OTD OTR/L
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Telephone | 440-567-3648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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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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