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General NPI Number Information
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NPI Number | 1881484715
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Entity Type | Organization
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Legal Business Name | ABC OCCUPATIONAL THERAPY CONNECTIONS LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2505 NE 1213 AVE
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City | WISTER
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State | OK
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Zip | 74566
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Country | US
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Telephone | 918-413-4758
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | FANSHAWE
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State | OK
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Zip | 74935-0011
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Country | US
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Telephone | 918-413-4758
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAH D MONTGOMERY
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Credential | COTA/L
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Telephone | 918-413-4758
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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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