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General NPI Number Information
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NPI Number | 1881285625
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Entity Type | Organization
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Legal Business Name | ACORN CHILDREN'S THERAPY
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 130 BRYN WYCK PL
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8062
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Country | US
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Telephone | 210-421-8229
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Fax |
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Provider Business Mailing Address
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Address Line | 130 BRYN WYCK PL
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8062
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Country | US
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Telephone | 210-421-8229
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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 | MRS. ALISON E BABB KEEBLE
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Credential | OTR/L
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Telephone | 210-421-8229
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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 |
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License Number State |
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