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General NPI Number Information
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NPI Number | 1902016116
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Entity Type | Organization
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Legal Business Name | THERAREHAB, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 705 SPRING LAKE DRIVE
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City | MELBOURNE
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State | FL
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Zip | 32940
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Country | US
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Telephone | 786-393-7807
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Fax | 305-382-0421
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Provider Business Mailing Address
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Address Line | 705 SPRING LAKE DRIVE
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City | MELBOURNE
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State | FL
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Zip | 32940
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Country | US
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Telephone | 786-393-7807
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Fax | 305-382-0421
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. KATHLEEN BERNADETTE FRAHM
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Credential | OT
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Telephone | 786-393-7807
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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 | 0005978
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License Number State | FL
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Taxonomy #2
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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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