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General NPI Number Information
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NPI Number | 1881338689
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Entity Type | Organization
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Legal Business Name | OT FOR CHILDREN II INC
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 8390 GLENMAR RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-6993
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Country | US
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Telephone | 646-266-2189
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Fax |
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Provider Business Mailing Address
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Address Line | 8390 GLENMAR RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-6993
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Country | US
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Telephone | 646-266-2189
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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. HELIANA PHANSALKAR
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Credential | OTR/L
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Telephone | 646-266-2189
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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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