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NPI 1871995209

NPI 1871995209 : JLM THERAPY, INC. : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1871995209
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    Entity Type          |    Organization 
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    Legal Business Name  |    JLM THERAPY, INC. 
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Dates
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    Enumeration Date     |    09/17/2014
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    Last Update Date     |    09/17/2014
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Provider Practice Location Address
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    Address Line         |    845 109TH AVE N 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34108-1813
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    Country              |    US
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    Telephone            |    239-207-4301
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    845 109TH AVE N 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34108-1813
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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    |    PRESIDENT
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    Name                 |     JULIE LYNN MCGEE 
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    Credential           |    OTR/L
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    Telephone            |    239-207-4301
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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       |    OT 10768
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    License Number State |    FL
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